Provider Demographics
NPI:1053327403
Name:LATOT INC
Entity Type:Organization
Organization Name:LATOT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:JENSEN
Authorized Official - Last Name:THORPE
Authorized Official - Suffix:
Authorized Official - Credentials:OCC THERAPIST
Authorized Official - Phone:317-876-3558
Mailing Address - Street 1:7520 BANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-5715
Mailing Address - Country:US
Mailing Address - Phone:317-876-3558
Mailing Address - Fax:317-876-3568
Practice Address - Street 1:7520 BANCASTER DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-5715
Practice Address - Country:US
Practice Address - Phone:317-876-3558
Practice Address - Fax:317-876-3568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty