CHARLOTTE LATHAM

LOS RANCHOS, NM
NPI1013343219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  A-0889)
Enumeration Date2013-09-19
Last Update Date2013-09-19
Business Address
-- CHARLOTTE LATHAM PTA
8631 RIO GRANDE BLVD NW APT C
LOS RANCHOS, NM 87114-1200
Phone number: 505-231-4131
Mailing Address
-- CHARLOTTE LATHAM PTA
PO BOX 56843
ALBUQUERQUE, NM 87187-6843
Phone number: 505-231-4131
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