Individual provider · Type 1 NPI

Lathai Ratanavongsa

Rehabilitation Practitioner · Fullerton, CA

NPI number 1942521661 Active

Practice location

801 E Chapman Ave
Fullerton, CA 92831-3839

Call (714) 680-9000 Map

Mailing address

4901 Clair Del Ave Apt 1208
Long Beach, CA 90807-6194

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1942521661

Lathai Ratanavongsa's National Provider Identifier is 1942521661, issued on Jun 16, 2010. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fullerton, CA. The record was last updated on Jun 16, 2010.