Individual
LYDA JANE LATAGLIATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8008 SOUTH JESSE OWENS PARKWAY, PHOENIX, AZ 85042
(602) 243-2780
Mailing address
4699 E AUGUSTA AVE, CHANDLER, AZ 85249-7010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-007502
AZ
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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