Individual
KRISTEN W. LATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
214 HOPE LANDING RD, EL DORADO, AR 71730-8725
(870) 862-0500
Mailing address
PO BOX 10215, EL DORADO, AR 71730-0045
(870) 862-0500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2691
AR
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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