Mr. Omar Tatum
Mr. Omar Tatum is a Physical Therapy Assistant in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
1435 W Brown St Apt 3Milwaukee, WI 53205-1227
Phone: (414) 418-8608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 1198-19 (WI) |
|---|
Record details
| NPI number | 1114177623 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 22, 2008 |
| Last updated in NPPES | September 22, 2008 |
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