Individual
KENDRA RENEE LARATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1485 NE 7TH ST, GRANTS PASS, OR 97526-1303
(800) 958-2588
Mailing address
4201 COYOTE CREEK RD, WOLF CREEK, OR 97497-9609
(541) 441-6302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08903
OR
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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