Doctor Name: | REGINA TAN |
NPI Number: | 1114109790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 070015693 |
Business Practice Address: | 2320-2324 West Jefferson Street Joliet, IL - 60435 |
Business Phone Number: | 8157413758 |
Business Fax Number: | 8157413974 |
Mailing Address: | 16101 Weber Rd, CRESTHILL |
State: | IL |
Postal Code: | 604038812 |
Phone Number: | 8153061100 |
Fax Number: | 8153061105 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 11/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070015693 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |