Individual
KIMBERLEE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14409 GREENVIEW DR, 102, LAUREL, MD 20708-3293
(301) 498-8100
Mailing address
14409 GREENVIEW DR, LAUREL, MD 20708-3293
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01508
MD
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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