Individual
CASSANDRA LYNN LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1561 E ONTARIO AVE STE 101, CORONA, CA 92881-6663
(951) 407-9233
Mailing address
1561 E ONTARIO AVE STE 101, CORONA, CA 92881-6663
(951) 407-9233
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305376
CA
225100000X
Physical Therapist
LPT-32384
AZ
Other
Enumeration date
06/13/2022
Last updated
03/18/2024
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