Individual
TAMARA DAWN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 N MAIN ST STE A, LINDALE, TX 75771-6426
(903) 882-6400
(903) 882-6404
Mailing address
616 N MAIN ST STE A, LINDALE, TX 75771-6426
(903) 882-6400
(903) 882-6404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214391
TX
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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