Provider Demographics
NPI:1467724070
Name:LATTIMORE, ANN MORGAN (OTR)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MORGAN
Last Name:LATTIMORE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 WEST MAIN STREET
Mailing Address - Street 2:PO BOX 236
Mailing Address - City:LATTIMORE
Mailing Address - State:NC
Mailing Address - Zip Code:28089
Mailing Address - Country:US
Mailing Address - Phone:704-300-8377
Mailing Address - Fax:
Practice Address - Street 1:518 OLD US 221 HWY
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-8670
Practice Address - Country:US
Practice Address - Phone:828-287-7655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0523225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist