Individual
ANDREW TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
25399 THE OLD RD, APT 12207, STEVENSON RANCH, CA 91381-1615
(239) 258-0319
Mailing address
25399 THE OLD RD, APT 12207, STEVENSON RANCH, CA 91381-1615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41021
CA
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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