Provider Demographics
NPI:1871564765
Name:LATCHFORD, CHRISTOPHER (OT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:LATCHFORD
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3735 NAZARETH HWY
Mailing Address - Street 2:NORTHWOOD
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8338
Mailing Address - Country:US
Mailing Address - Phone:610-258-7094
Mailing Address - Fax:610-258-6107
Practice Address - Street 1:3735 NAZARETH HWY
Practice Address - Street 2:NORTHWOOD
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8338
Practice Address - Country:US
Practice Address - Phone:610-258-7094
Practice Address - Fax:610-258-6107
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002454225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist