Individual
MS. CORY LEIGH TATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 W COLLIN RAYE DR SPC 106, DE QUEEN, AR 71832-2007
(870) 584-1085
(870) 584-1095
Mailing address
300 W COLLIN RAYE DR SPC 106, DE QUEEN, AR 71832-2007
(870) 584-1085
(870) 584-1095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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