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NICOLE PINEDA TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1101 S ANAHEIM BLVD, ANAHEIM, CA 92805-5811
(714) 929-1750
(714) 937-1966
Mailing address
2023 OTTERBEIN AVE, ROWLAND HEIGHTS, CA 91748-3950
(626) 251-0315

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49028
CA

Other

Enumeration date
12/13/2017
Last updated
03/17/2018
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