Search › Wisconsin › Physical Therapy Assistant
Omar Tatum
NPI 1114177623 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1435 W Brown St
Apt 3
Milwaukee, WI 53205 - Phone
- (414) 418-8608
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin