Individual provider · Type 1 NPI

Omar Tatum

Physical Therapy Assistant · Milwaukee, WI

NPI number 1114177623 Active

Practice location

1435 W Brown St, Apt 3
Milwaukee, WI 53205-1227

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X1198-19 (WI)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1114177623

Omar Tatum's National Provider Identifier is 1114177623, issued on Sep 22, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 22, 2008.