Lato, Dallas Az

Lato, Dallas Az is an individual health care provider with primary practice located at 4850 E Baseline Rd Suite 114, Mesa AZ 85206-4625. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lato, Dallas Az can be contacted via phone (480) 396-2781.

Contact Information

Primary practice address
4850 E Baseline Rd Suite 114 Mesa AZ 85206-4625
Phone: (480) 396-2781
Fax: (480) 854-3094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3551 Arizona

Profile Details

NPI number 1669468161
LBN Legal business name Lato, Dallas Az
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Nov 10th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1669468161 NPPES
Arizona MEDICAID 960379

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