Individual
MRS. MICHELLE TATE-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
7803 LEMONWOOD CT, TEMPLE TERRACE, FL 33637-6536
(813) 334-1297
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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