Individual
LATASHA RENEE GOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
113 S 43RD ST, LOUISVILLE, KY 40212-2611
(502) 418-9478
Mailing address
113 S 43RD ST, LOUISVILLE, KY 40212-2611
(502) 418-9478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004699A
IN
Other
Enumeration date
10/08/2008
Last updated
12/23/2024
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