Individual
LATARA AUGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2674 STRATHAM CT, KISSIMMEE, FL 34741-7785
(407) 692-3436
Mailing address
2674 STRATHAM CT, KISSIMMEE, FL 34741-7785
(407) 692-3436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16076
FL
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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