Individual
JANE WAI CHING TANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2039 FOREST AVE, #104, SAN JOSE, CA 95128
(408) 279-8501
(408) 279-8504
Mailing address
PO BOX 612260, SAN JOSE, CA 95161
(877) 325-2776
(408) 845-4011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2003
CA
Other
Enumeration date
12/07/2005
Last updated
07/08/2007
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