Individual
LATASHA LEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 3RD ST E, HAMPTON, SC 29924-2511
(803) 943-3419
(803) 943-5131
Mailing address
103 3RD ST E, HAMPTON, SC 29924-2511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2662
SC
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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