Individual
FARRAH SENERPIDA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1141 DEERFIELD RD, APT 1D, DEERFIELD, IL 60015-4176
(224) 300-8813
Mailing address
1141 DEERFIELD RD, APT 1D, DEERFIELD, IL 60015-4176
(224) 300-8813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070017731
IL
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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