Individual
LAUREL LEE TATGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 E DUVAL RD, SUITE 10, GREEN VALLEY, AZ 85614-4153
(520) 648-0270
(520) 625-1003
Mailing address
50 E DUVAL RD, SUITE 10, GREEN VALLEY, AZ 85614-4153
(520) 648-0270
(520) 625-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501000760
MI
Other
Enumeration date
05/08/2006
Last updated
09/19/2013
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