Individual
PAMELA ISABEL TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
19580 HIGHLAND OAKS DR APT 103, ESTERO, FL 33928-9621
(847) 373-0921
Mailing address
19580 HIGHLAND OAKS DR APT 103, ESTERO, FL 33928-9621
(847) 373-0921
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27199
FL
225700000X
Massage Therapist
MA82366
FL
Other
Enumeration date
12/09/2020
Last updated
01/06/2021
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