Individual
CHRISTOPHER RYAN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
129 CORPORATE DR, COVINGTON, LA 70433-1057
(985) 249-6111
Mailing address
209 COTTAGE GREEN LN, COVINGTON, LA 70435-5641
(985) 773-3202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11503
LA
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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