| NPI | 1821564832 |
|---|---|
| Doing Business As | LATTIMORE OF WEST IRONDEQUOIT PT |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SHUMAN President 585-737-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |