MRS. Angela Leanne Tatum, PHYSICAL THERAPIST
NPI #1356409528 in La Fayette, Georgia
Provider Information
- NPI Number
- 1356409528
- Entity Type
- Individual
- Name
- MRS. Angela Leanne Tatum, PHYSICAL THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PHYSICAL THERAPIST
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4147 STRAIGHT GUT RD
- City
- La Fayette
- State
- Georgia
- ZIP Code
- 30728-6749
- Phone
- (706) 764-2951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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