Individual
DAVE LYNAEUS TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11406 LOMA LINDA DR, WEST ENTRANCE, LOMA LINDA, CA 92354-3711
(909) 558-6501
(909) 558-6002
Mailing address
2120 E COLUNGA ST, COLTON, CA 92324-4577
(909) 370-1175
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT8728
CA
Other
Enumeration date
03/21/2006
Last updated
12/23/2013
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