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Individual

KATIE W TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1309 W SCREVEN ST, QUITMAN, GA 31643-1819
(229) 263-7868
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007513
GA

Other

Enumeration date
10/29/2019
Last updated
09/16/2020
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