Individual
MR. PATRICK DIZON TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1341 W DAHLIA ST, LA HABRA, CA 90631-9281
(909) 524-2889
Mailing address
1341 W DAHLIA ST, LA HABRA, CA 90631-9281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2514
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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