Individual
MARY ELLEN FLORENDO-TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
140 W SAN JOSE AVE, CLAREMONT, CA 91711-5204
(909) 621-2780
Mailing address
1524 E MAPLEGROVE ST, WEST COVINA, CA 91792-1214
(909) 615-6638
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT1109
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT 1109
CA
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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