Individual
MS. IRIS MELANY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
415 NE 103RD ST, APT 5E, KANSAS CITY, MO 64155-3045
(816) 590-9120
Mailing address
415 NE 103RD ST, APT 5E, KANSAS CITY, MO 64155-3045
(816) 590-9120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007019336
MO
Other
Enumeration date
04/29/2008
Last updated
06/07/2013
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