Organization
LATUS THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESHANTA WILBURN (CEO)
(770) 425-6661
Entity
Organization
Contact information
Practice address
3725 JAILETTE RD, ATLANTA, GA 30349-1862
(770) 415-0954
Mailing address
PO BOX 310686, ATLANTA, GA 31131-0686
(770) 415-0954
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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