LORESA LATHAM

MOLINE, IL
NPI1659732394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.003895)
Enumeration Date2016-03-08
Last Update Date2016-03-08
Business Address
Mrs. LORESA LATHAM
221 11TH AVE
MOLINE, IL 61265-1498
Phone number: 309-757-7744
Mailing Address
Mrs. LORESA LATHAM
221 11TH AVE
MOLINE, IL 61265-1498
Phone number: 309-757-7744