Individual
JAMIKA LASHONDRA TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1112 S 48TH ST, SUITE B, SPRINGDALE, AR 72762-5848
(479) 751-3900
(479) 751-3011
Mailing address
PO BOX 871, TONTITOWN, AR 72770-0871
(479) 751-3900
(479) 751-3011
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3093
AR
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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