Individual
CHRISTINA SHEPHARD LATIMER
Active
Individual
CHRISTINA SHEPHARD LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1191891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175094101
FIRSTCARE
TX
05
—
219799801
—
TX
05
—
219799802
—
TX
01
—
818T35
BCBS
TX
01
—
P00895373
MEDICARE RAILROAD
TX
Enumeration date
10/09/2009
Last updated
11/15/2012
Update your record
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