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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CAROLYN LATHAM, DPT

Active Sole Proprietor

CAROLYN LATHAM, DPT is a Physical Therapy Assistant healthcare provider located in SAN RAFAEL, California. NPI 1205246071 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SAN RAFAEL, CA

Registration Details

NPI Number
1205246071
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2014 (12.102632697262 yrs)
Last Updated
Jul 8, 2025
Licenses
036762 (NY)
0016119 (CO)
PT298393 (CA)
Sole Proprietor
Yes

Practice Information

Address
7 MERIAM DR
SAN RAFAEL, CA, 949032826
Browse CA providers · Browse ZIP 94903
Phone
6156045367
Fax
4154921925
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SAN RAFAEL, CA

Name Credential NPI
MR. ANDREW EDWARD KELLY P.T. 1871593004
MR. JOHN CHRIS BESONIS P.T. 1982605903
MRS. KAYLIN JAIE MORDOCK P.T. 1386626505
MR. KENNETH A TUCKER P.T. 1225006430
ANNE B. SNYDER PHYSICAL THERAPIST 1093811333
MRS. HEATHER WILLIAMS NEELY PT 1760557300
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.