Individual
BRIAN LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(414) 797-0000
Mailing address
9350 W FOND DU LAC AVE, MILWAUKEE, WI 53225-1714
(414) 797-0000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6330-26
WI
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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