Kimberlee Tatum
Occupational Therapy Assistant
14409 Greenview Dr 102
Laurel
, Maryland 20708-3293
Kimberlee Tatum
Occupational Therapy Assistant
14409 Greenview Dr 102
Laurel
, Maryland 20708-3293
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kimberlee Tatum
- 14409 Greenview Dr
- Laurel, MD
- Zip : 20708-3293
- Phone :
Second Address
- Kimberlee Tatum
- 14409 Greenview Dr 102
- Laurel, MD
- Zip : 20708-3293
- Phone : (301) 498-8100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | A01508 | MD |
National Provider Identifier
| NPI | 1033391974 |
|---|---|
| Provider Name | Kimberlee Tatum |
| First Address | Laurel, MD 20708-3293 |
| Second Address | Laurel, MD 20708-3293 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/12/2007 |
| Last Update Date | 03/12/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.