| NPI | 1124359849 |
|---|---|
| Other Name | CELESTE LOVELAND TATUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 226300000X Kinesiotherapist (Licence: 1119200) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: 11192000) |
| 225500000X Specialist/Technologist (Licence: 11192000) | |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |