Individual
CAROL CORREA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
802 LINDSLEY DR, APT 2B, MORRISTOWN, NJ 07960-4495
(816) 225-7936
Mailing address
802 LINDSLEY DR, APT 2B, MORRISTOWN, NJ 07960-4495
(816) 225-7936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA01314300
NJ
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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