Individual
ADRIANNA TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8017 W VIRGINIA DR, DALLAS, TX 75237-3767
(972) 709-1112
Mailing address
4713 VIRGINIA AVE STE D, DALLAS, TX 75204-4806
(972) 339-8098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215191
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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