Individual
AMANDA BERNICE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2815 W HOWARD ST APT 2E, CHICAGO, IL 60645-1200
(872) 202-6231
Mailing address
2815 W HOWARD ST APT 2E, CHICAGO, IL 60645-1200
(872) 202-6231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006690
IL
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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