Doctor Name: | MRS. GISELLE DEL ROSARIO TAN |
NPI Number: | 1780948125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 25075 |
Business Practice Address: | 2500 Merced Street San Leandro, CA - 945774201 |
Business Phone Number: | 5104541000 |
Business Fax Number: | |
Mailing Address: | 2500 Merced Street, SAN LEANDRO |
State: | CA |
Postal Code: | 945774201 |
Phone Number: | 5104541000 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2012 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 25075 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |