Individual
BRUCE W TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4221 PINE TREE DR FL 2, MIAMI BEACH, FL 33140
(305) 935-9599
Mailing address
3640 SW 25TH ST, MIAMI, FL 33133-2044
(215) 870-0498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34285
FL
Other
Enumeration date
11/15/2012
Last updated
03/07/2019
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