Individual
MRS. CONSTANCE LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
117 JACOB PARROT RD, KENTON, OH 43326-9506
(419) 674-4197
Mailing address
10605 TOWNSHIP ROAD 115, KENTON, OH 43326-9410
(419) 673-8574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.004535
OH
Other
Enumeration date
02/02/2013
Last updated
02/02/2013
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