Individual
LATEZIA MONET CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1855 CHEYENNE DR, CARROLLTON, TX 75010-2201
(972) 394-7141
Mailing address
1855 CHEYENNE DR, CARROLLTON, TX 75010-2201
(972) 394-7141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125620
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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