| Mr Kevin Blaine Lathrop, MS, CCC-SLP | |
|
2 Knoll Ln, Rocky Hill, CT 06067-4241 | |
| (860) 836-3317 | |
| (860) 571-9347 |
| Full Name | Mr Kevin Blaine Lathrop |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 2 Knoll Ln, Rocky Hill, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356550255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 003261 (Connecticut) | Primary |
| Provider Name | Healthpro Heritage Rehab & Fitness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376038646 PECOS PAC ID: 6507832573 Enrollment ID: O20180814003062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Blaine Lathrop, MS, CCC-SLP 2 Knoll Ln, Rocky Hill, CT 06067-4241 Ph: (860) 836-3317 | Mr Kevin Blaine Lathrop, MS, CCC-SLP 2 Knoll Ln, Rocky Hill, CT 06067-4241 Ph: (860) 836-3317 |
Caitlin Emmett, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2139 Silas Deane Hwy Ste 206b, Rocky Hill, CT 06067 Phone: 860-200-7450 | |
Alexandra Elizabeth Russo, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 Catherine Dr, Rocky Hill, CT 06067 Phone: 860-305-6442 | |
Danielle Coppes King, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2139 Silas Deane Hwy, Rocky Hill, CT 06067 Phone: 860-200-7450 |