Individual
LATOYA DIVORE OBASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3510 E RICHMOND RD APT 4, RICHMOND, VA 23223-6818
(804) 477-5314
Mailing address
3510 E RICHMOND RD APT 4, RICHMOND, VA 23223-6818
(804) 477-5314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606220
VA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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