Latta, Susan
Latta, Susan is an individual health care provider with primary practice located at 872 W Dayton St , Galesburg IL 61401-1503. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Latta, Susan can be contacted via phone (309) 344-3400.Contact Information
Primary practice address
872 W Dayton St
Galesburg IL 61401-1503
Phone: (309) 344-3400
Fax: (309) 344-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1063549921 |
|---|---|
| LBN Legal business name | Latta, Susan |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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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