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 |