Liza Tan PT, DPT, MA

NPI 1982628764 - Physical Therapist - 225100000X

NPI Details
NPI 1982628764
Gender Female
Enumeration Date 07/26/2006
Last Updated 09/09/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
6805 FRESH POND RD
RIDGEWOOD NY, 11385-5200, US
Phone (718) 456-2545
Fax
Business Location
6805 FRESH POND RD
RIDGEWOOD NY, 11385-5200, US
Phone (718) 456-2545
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 015401
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According to our database, Liza Tan PT, DPT, MA NPI is 1982628764, taxonomy code is 225100000X and license number is 015401, license state is located at New York. Liza Tan PT, DPT, MA physically located at 6805 Fresh Pond Rd, Ridgewood NY, 11385-5200. NPI Number Liza Tan PT, DPT, MA has the Individual type.

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1982628764 NPI number is provided on an as is basis without warranty of any kind. 1982628764 is maintained by the National Plan & Provider Enumeration System. The contents of Liza Tan PT, DPT, MA are for informational purposes only.