Individual
ASHLEIGH LATHRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
620 DR CALVIN JONES HWY, WAKE FOREST, NC 27587-3100
(919) 673-4246
(919) 263-9605
Mailing address
7710 FERRY LAUNCH WAY APT 5301, RALEIGH, NC 27617-8685
(937) 403-7668
(919) 263-9605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12146
NC
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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