Individual
BELINDA DALE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W SCREVEN ST, QUITMAN, GA 31643-3913
(229) 263-6100
Mailing address
3218 GA HIGHWAY 188 N, CAIRO, GA 39827-5596
(229) 403-1997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002528
GA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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