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1609120526
DIANE LATTA
EVANSTON, IL
NPI
1609120526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.003560)
Enumeration Date
2012-10-30
Last Update Date
2012-10-30
Business Address
Mrs. DIANE LATTA PT
355 RIDGE AVENUE
EVANSTON, IL 60202-9985
Phone number: 847-316-4000
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Mailing Address
Mrs. DIANE LATTA PT
355 RIDGE AVENUE
EVANSTON, IL 60202-9985
Phone number: 847-316-4000
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