Individual
ANTHONY G TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5030 BONITA RD STE B, BONITA, CA 91902-1700
(619) 479-7473
(619) 479-9376
Mailing address
5030 BONITA RD STE B, BONITA, CA 91902-1700
(619) 479-7473
(619) 479-9376
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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