Individual
MRS. DARLENE ASHLEY LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
1501 E GREENVILLE ST, ANDERSON, SC 29621-2004
(864) 226-8356
(864) 261-6480
Mailing address
5608 FLAT ROCK RD, IVA, SC 29655-9177
(864) 348-3630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
741
SC
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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