Doctor Name: | JOEL B. TAN |
NPI Number: | 1568548444 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05004249A |
Business Practice Address: | 1678 Liberty St Hobart, IN - 463426229 |
Business Phone Number: | 2199427284 |
Business Fax Number: | |
Mailing Address: | 6829 1/2 South Grand Avenue, HAMMOND |
State: | IN |
Postal Code: | 46323 |
Phone Number: | 2195540356 |
Fax Number: | 2195540372 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004249A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |