Jose Penaranda Tan

NPI 1386773489 - Occupational Therapist - 225X00000X

NPI Details
NPI 1386773489
Gender Male
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5250 W. ANDREW JOHNSON. HWY.
MORRISTOWN TN, 37814-1027, US
Phone (423) 318-7800
Fax (423) 317-3332
Business Location
5250 W. ANDREW JOHNSON HIGHWAY
MORRISTOWN TN, 37814-1027, US
Phone (423) 318-7800
Fax (423) 317-3332
Toxanomy
Taxonomy Code 225X00000X
License State Tennessee
License Number OT00573
Remove 1386773489 NPI Number
 

According to our database, Mr. Jose Penaranda Tan NPI is 1386773489, taxonomy code is 225X00000X and license number is OT00573, license state is located at Tennessee. Jose Penaranda Tan physically located at 5250 W. Andrew Johnson. Hwy., Morristown TN, 37814-1027. NPI Number Jose Penaranda Tan has the Individual type.

Sponsored links

1386773489 NPI number is provided on an as is basis without warranty of any kind. 1386773489 is maintained by the National Plan & Provider Enumeration System. The contents of Jose Penaranda Tan are for informational purposes only.