CALLIE DIANE LATHAM

GRIFFIN, GA
NPI1508682147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT009340)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT009340)
Enumeration Date2024-11-27
Last Update Date2025-03-19
Business Address
CALLIE DIANE LATHAM OTR/L
14557 US-19 SUITE C
GRIFFIN, GA 30224
Phone number: 770-468-6941
Mailing Address
CALLIE DIANE LATHAM OTR/L
1050 MCDONOUGH RD
JACKSON, GA 30233-1524
Phone number: 770-775-7861