| NPI | 1417380536 |
|---|---|
| Former Name | CATHERINE L TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011143) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30504) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2025-03-20 |