Individual
MS. LATANYA BEATRICE LEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
185 SQUIRE RD, REVERE, MA 02151-1234
(781) 284-0559
Mailing address
814 MAIN ST, APT. 2R, MALDEN, MA 02148-2611
(718) 926-2486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8636
MA
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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