Most Relevant Information
Provider Data
| NPI Number: | 1003638867 |
| Provider Name: | LISA MICHAELENE LATOSKI |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | OC002875L |
Most Important Dates
| Enumeration Date: | 10/31/2024 |
| Last Updated: | 10/31/2024 |
Provider Practice Location
859 COON RD
WYOMING
PA
186446043
Practice Location Phone/Fax
| Phone: | 5702377045 |
| Fax: |
Provider Mailing Location
859 COON RD
WYOMING
PA
186446043
Provider Mailing Phone/Fax
| Phone: | 5702377045 |
| Fax: |