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Individual
JERRY LAY TAN
Active
Individual
JERRY LAY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23993
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
03/17/2010
Last updated
03/17/2010
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