MR. Gerald T Tate, PT

NPI #1396747010 in Appleton, Wisconsin

Provider Information

NPI Number: 1396747010
Entity Type: Individual
Name: MR. Gerald T Tate, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 12, 2005
Last Updated: Dec 23, 2020

Practice Location

Address: 4835 N CHERRYVALE AVE
City: Appleton
State: Wisconsin
ZIP Code: 54913-9383
Phone: (920) 427-0350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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