Individual
JULIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4081 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-2674
(931) 433-9973
Mailing address
PO BOX 577, FAYETTEVILLE, TN 37334-0577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6970
TN
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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