Katie W Tanner

NPI #1205470655 in Quitman, Georgia

Provider Information

NPI Number: 1205470655
Entity Type: Individual
Name: Katie W Tanner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 29, 2019
Last Updated: Sep 16, 2020

Practice Location

Address: 1309 W SCREVEN ST
City: Quitman
State: Georgia
ZIP Code: 31643-1819
Phone: (229) 263-7868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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