Latasha N Tates, PTA

NPI #1417299983 in Bryan, Texas

Provider Information

NPI Number: 1417299983
Entity Type: Individual
Name: Latasha N Tates, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 22, 2013
Last Updated: Mar 22, 2013

Practice Location

Address: 2333 MANOR DRIVE
City: Bryan
State: Texas
ZIP Code: 77802
Phone: (979) 821-7327

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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