Individual
LEAH LATTERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10600 PECK RD, MANTUA, OH 44255-9505
(330) 221-7634
Mailing address
10600 PECK RD, MANTUA, OH 44255-9505
(330) 221-7634
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-150892
OH
225X00000X
Occupational Therapist
Primary
OT013128
OH
Other
Enumeration date
01/12/2021
Last updated
01/21/2025
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