Individual provider · NPI-1

Latila Abbott, DPM, MS

Podiatrist, Primary Podiatric Medicine · Philadelphia, PA

NPI number1548054471
StatusActive
Last updated in NPPESSep 9, 2026

Details

NPI
1548054471
Entity type
Individual (NPI-1)
Name
Latila Abbott
Credential
DPM, MS
Sex
Female
Sole proprietor
No
Enumeration date
Apr 7, 2025
Certification date
Sep 9, 2026
Last updated
Sep 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213EP1101X Podiatrist, Primary Podiatric Medicinesc007593PAYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • La'Tila Wilson (Former Name)

Practice location

2601 Holme Ave
Philadelphia, PA 19152-2007

Phone 215-335-6520

Mailing address

8460 Limekiln Pike Apt 813
Wyncote, PA 19095-2672

Phone 215-335-6520

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