Audrey Johanna Y Tan, | |
517 S A St, Madera, CA 93638-3806 | |
(714) 390-8761 | |
Not Available |
Full Name | Audrey Johanna Y Tan |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 517 S A St, Madera, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144926049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 11003 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Audrey Johanna Y Tan, 3149 Antonio Ave, Clovis, CA 93619-8907 Ph: (714) 390-8761 | Audrey Johanna Y Tan, 517 S A St, Madera, CA 93638-3806 Ph: (714) 390-8761 |
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