Individual
LIANNE TANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(858) 694-4930
Mailing address
PO BOX 710261, SAN DIEGO, CA 92171-0261
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
1501
CA
Other
Enumeration date
06/18/2007
Last updated
12/01/2021
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