| NPI | 1245650688 |
|---|---|
| Doing Business As | LATTIMORE OF GRPT |
| Entity Type | Organization |
| Authorized Contact | GENNELL DEGAETANO Administrative Specialist 585-671-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-30 |