| NPI | 1952818361 |
|---|---|
| Doing Business As | LATTIMORE ICEPLEX PT |
| Entity Type | Organization |
| Authorized Contact | CAROL WHITBOURNE Office Manager 585-851-9987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |