Individual
ANDREW LATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
735 W CHANNEL ISLANDS BLVD, PORT HUENEME, CA 93041-2130
(805) 250-7505
Mailing address
9097 E DESERT COVE AVE STE 110, SCOTTSDALE, AZ 85260-6276
(480) 551-4965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305931
CA
Other
Enumeration date
07/25/2019
Last updated
08/30/2024
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