Individual
JOEL B. TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1678 LIBERTY ST, HOBART, IN 46342-6229
(219) 942-7284
Mailing address
6829 1/2 SOUTH GRAND AVENUE, HAMMOND, IN 46323
(219) 554-0356
(219) 554-0372
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004249A
IN
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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