SAMANTHA JOHANNE TATUM

NICHOLASVILLE, KY
NPI1609414507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  135045)
Enumeration Date2019-12-11
Last Update Date2020-12-03
Business Address
SAMANTHA JOHANNE TATUM OT
610 E BRANNON ROAD SUITE 200
NICHOLASVILLE, KY 40356
Phone number:
Mailing Address
SAMANTHA JOHANNE TATUM OT
5200 COMMERCE CROSSING 3RD FLOOR
LOUISVILLE, KY 40229
Phone number: 502-489-6615