Individual
ANGELA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
160 S HOLLYWOOD ST, MEMPHIS, TN 38112-4801
(901) 416-5300
Mailing address
160 S HOLLYWOOD ST, MEMPHIS, TN 38112-4801
(901) 416-5300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3563
TN
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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