Individual
TAMMY LATTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3077 E 98TH ST, SUITE 265, INDIANAPOLIS, IN 46280-2940
(866) 855-4450
(866) 855-4452
Mailing address
10675 LEXINGTON DR, INDIANAPOLIS, IN 46280-1151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007595A
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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