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Individual
JAMES TAN
Active
Individual
JAMES TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023830
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070.023830
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION ILLINOIS PHYSICAL THERAPIST
IL
Enumeration date
08/20/2018
Last updated
08/20/2018
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