Individual
ELIZABETH SIRIA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
(954) 583-7383
Mailing address
447 NW 73RD AVE, PLANTATION, FL 33317-1608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18959
FL
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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