Individual
JENNIFER TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 505, CULVER CITY, CA 90232-6818
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14101
CA
Other
Enumeration date
04/14/2017
Last updated
05/29/2020
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