Individual
EDWIN TANTIANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 DELAWARE VETERANS BLVD, MILFORD, DE 19963-5395
(302) 424-6000
Mailing address
27219 BUCKSKIN TRL, HARBESON, DE 19951-2719
(302) 569-0685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001224
DE
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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