Individual
LATISHA S RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2900 CHARLEVOIX DR STE 200, COMPHEALTH, GRAND RAPIDS, MI 49546-7517
(877) 492-6467
Mailing address
4688 POPPLETON AVE, OMAHA, NE 68106-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1312
NE
225X00000X
Occupational Therapist
9405
CA
Other
Enumeration date
06/05/2007
Last updated
04/05/2011
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