Individual
DENIS LATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1720 E 67TH ST, TACOMA, WA 98404-4223
(253) 474-1741
Mailing address
20712 216TH AVE SE, RENTON, WA 98058-0251
(206) 306-3213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60666684
WA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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