Individual
TATUM FAHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 1ST AVE, PEABODY, MA 01960
(860) 508-8113
Mailing address
64 MARSHALL ST, SOMERVILLE, MA 02145-2922
(860) 508-8113
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
12429
MA
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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