Terrell Sean Tate, BOCP, CO

NPI #1164929543 in Memphis, Tennessee

Provider Information

NPI Number
1164929543
Entity Type
Individual
Name
Terrell Sean Tate, BOCP, CO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist - Prosthetics Case Management
Credential
BOCP, CO
Enumeration Date
Apr 11, 2018
Last Updated
May 28, 2021

Practice Location

Address
1661 INTERNATIONAL DRIVE
Address 2
SUITE 400
ZIP Code
38120-1431
Phone
(901) 340-2008

Specialties & Taxonomy Codes

Specialty
Specialist - Prosthetics Case ManagementProsthetics Case Management

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