Individual
KELLI LYNN LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
2224 KIRBY ST, DALLAS, TX 75204-4627
(469) 260-8310
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2083853
TX
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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