Camacho, Latiesha Jasmin
Camacho, Latiesha Jasmin is an individual health care provider with primary practice located at 14906 Jefferson Davis Hwy , Woodbridge VA 22191-4016. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Camacho, Latiesha Jasmin can be contacted via phone (703) 491-6167.Contact Information
Primary practice address
14906 Jefferson Davis Hwy
Woodbridge VA 22191-4016
Phone: (703) 491-6167
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 2306604855 | Virginia |
Profile Details
NPI number | 1225548258 |
---|---|
LBN Legal business name | Camacho, Latiesha Jasmin |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2017 |
Last updated | Oct 4th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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