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Individual

DR. CALLIE E LATHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
9400 WILLIAMSBURG PLZ, SUITE 100, LOUISVILLE, KY 40222-5093
(502) 412-4486
Mailing address
11805 DUANE POINT CIR, APT 204, LOUISVILLE, KY 40243-1784
(270) 977-7785

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006897
KY

Other

Enumeration date
08/02/2016
Last updated
08/02/2016
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