Individual
SYDNEY LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 LOVERS LN, WASHINGTON, NC 27889-3436
(252) 975-1636
Mailing address
5587 NC HIGHWAY 99 N, PANTEGO, NC 27860-9783
(125) 294-3807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11659
NC
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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