Individual
ALLISON TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 E COUNTY LINE RD STE A, RIDGELAND, MS 39157-1928
(601) 308-5117
(601) 308-5103
Mailing address
950 E COUNTY LINE RD, RIDGELAND, MS 39157-1928
(601) 308-5117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3496
MS
Other
Enumeration date
08/08/2019
Last updated
12/23/2024
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