Individual
RITCHIE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4458 LISETTE CIR, BROOKSVILLE, FL 34604-5812
(352) 442-5560
Mailing address
4458 LISETTE CIR, BROOKSVILLE, FL 34604-5812
(352) 442-5560
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT11455
FL
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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