Individual
MISS KERRY LEIGH LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6201 N SANTA FE AVE STE 1000, OKLAHOMA CITY, OK 73118-7532
(405) 272-5450
Mailing address
2509 KINGS WAY, OKLAHOMA CITY, OK 73120-3633
(817) 729-5476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5608
OK
Other
Enumeration date
10/20/2020
Last updated
01/20/2023
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