Tan, Mary Grace
Tan, Mary Grace is an individual health care provider with primary practice located at 55 S Raymond Ave Ste 100, Alhambra CA 91801-7100. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Tan, Mary Grace can be contacted via phone (626) 576-0591.Contact Information
Primary practice address
55 S Raymond Ave Ste 100
Alhambra CA 91801-7100
Phone: (626) 576-0591
Fax: (626) 576-5890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 33405 | California |
Profile Details
| NPI number | 1619012648 |
|---|---|
| LBN Legal business name | Tan, Mary Grace |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619012648 | NPPES |
| California | Other | PT 33405 | PHYSICAL THERAPY LICENSE |
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