Individual
DR. LATOYA K TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5240 SNAPFINGER PARK DR, STE 130, DECATUR, GA 30035-4059
(770) 322-7003
(770) 322-7630
Mailing address
2506 TREECREST PKWY, DECATUR, GA 30035-3579
(919) 358-6642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT010409
GA
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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