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:
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Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619012648 NPPES
California Other PT 33405 PHYSICAL THERAPY LICENSE

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