Individual
DR. CANDACE REBECCA LATSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 260-6637
Mailing address
5567 WHITNEYVILLE AVE SE, ALTO, MI 49302-9704
(734) 904-1804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016453
MI
Other
Enumeration date
09/03/2013
Last updated
03/07/2018
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