Mirta Batista Tatum INC

NPI #1336573039 in Miramar, Florida

Provider Information

NPI Number: 1336573039
Entity Type: Organization
Organization Name: Mirta Batista Tatum INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 29, 2013
Last Updated: Aug 29, 2013

Practice Location

Address: 4767 SW 195TH TER
City: Miramar
State: Florida
ZIP Code: 33029-6209
Phone: (754) 246-0625

Authorized Official

Name: MS. MIRTA BATISTA TATUM, RPT
Title: PHYSICAL THERAPIST
Phone: (754) 246-0625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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