Mary Tatum, M.ED, CCC-SLP

NPI 1700107448 · on the registry since 2010 · sole proprietor

Practice

Address: 122 Eglin Pkwy Ne
Fort Walton Beach, FL 32548
Phone: (850) 863-9973
Fax: (850) 863-9974
Organisation at this address: Michelle Wildman, Occupational Therapist, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-09-06

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 Florida