Individual
MRS. DEBORAH D. TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Mailing address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1926-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41048600
—
WI
Enumeration date
04/08/2008
Last updated
04/08/2008
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