| Doctor Name: | MARY GRACE TAN |
| NPI Number: | 1619012648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | PT 33405 |
| Business Practice Address: | 55 S Raymond Ave Ste 100 Alhambra, CA - 918017100 |
| Business Phone Number: | 6265760591 |
| Business Fax Number: | 6265765890 |
| Mailing Address: | 13284 Wentworth St, ARLETA |
| State: | CA |
| Postal Code: | 913315822 |
| Phone Number: | 8189949266 |
| Fax Number: | 6265765890 |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 33405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |