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Contact Information

KELLIE L TATUM, OTR/L
227 LANDMARK DRIVE
STUART, VA24171
 Phone: 276-694-0124
 Fax: 276-694-0125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELLIE L TATUM · (Female)

NPI Number 1609174614
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 03/01/2011
Last updated 07/20/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119005287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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