Individual
LATANYA FORTUNATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAIN ST, MILFORD, MA 01757-2806
(508) 478-0207
(508) 634-6984
Mailing address
177 ELM ST APT 4L, HOLYOKE, MA 01040-4423
(413) 686-4791
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
MA
Other
Enumeration date
02/08/2017
Last updated
10/31/2025
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