Individual
TONY TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
251 W CENTRAL ST STE 30, NATICK, MA 01760-3758
(508) 650-0060
(508) 650-0061
Mailing address
251 W CENTRAL ST STE 30, NATICK, MA 01760-3758
(508) 650-0060
(508) 650-0061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9982
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9982
BOARD OF ALLIED HEALTH
MA
Enumeration date
02/07/2022
Last updated
02/07/2022
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