Individual
ANITA TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9353 VALLEY BLVD, ROSEMEAD, CA 91770-1934
(626) 287-2988
Mailing address
18543 FIDALGO ST, ROWLAND HEIGHTS, CA 91748-4726
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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