Individual
ANITHA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T.
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17441
FL
Other
Enumeration date
12/09/2015
Last updated
12/15/2015
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