Individual
MS. MARIA TERESA YAP TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
199 DEERFIELD RD, GRENADA, MS 38901-9127
(662) 227-9438
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1684
MS
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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