Individual
LATIA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423-9386
(815) 220-5658
Mailing address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423-9386
(815) 220-5658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015950
IL
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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