| NPI | 1386691947 |
|---|---|
| Former Legal Business Name | TATUM SPORTS MEDICINE & REHABILITATION, INC |
| Entity Type | Organization |
| Authorized Contact | TANJA SNOWDEN Executive Assistant 480-706-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-06-24 |