Individual
MS. LESLEA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1919
(505) 222-2954
Mailing address
524 MISSION AVE NE, ALBUQUERQUE, NM 87107-4906
(505) 345-3624
(505) 222-2954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1075
NM
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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