| NPI | 1518491349 |
|---|---|
| Doing Business As | LATTIMORE OF VICTOR PT |
| Entity Type | Organization |
| Authorized Contact | CAROL WHITBOURNE Billing Manager 585-851-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2019-04-12 |