NPI 1477129799

Jennie Lee Tate, RT

Practitioner Recreation Therapist Fort Worth, TX

Practice location

Address: 2201 SE Loop 820, Fort Worth, TX 76119-5863
Phone: (817) 730-0327

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Registry record

NPI: 1477129799
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 May 2021
Record last updated: 27 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.