Individual
MS. KATRINA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7000
Mailing address
2936 W PALMER ST APT 403, CHICAGO, IL 60647-2928
(847) 809-7060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64691
OR
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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