Individual
MELISSA LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1000 SAINT LUKE DR, NASHVILLE, TN 37205-3588
(615) 352-3430
Mailing address
2828 OLD HICKORY BLVD, APT 2601, NASHVILLE, TN 37221-3719
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5068
TN
Other
Enumeration date
03/14/2017
Last updated
03/14/2017
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