Jedidiah Lagos Tan, RPT, DPT

NPI #1114506110 in Pearland, Texas

Provider Information

NPI Number
1114506110
Entity Type
Individual
Name
Jedidiah Lagos Tan, RPT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
RPT, DPT
Enumeration Date
Apr 6, 2021
Last Updated
Jul 29, 2022

Practice Location

Address
4102 VETERANS DR
State
Texas
ZIP Code
77584-2950
Phone
(832) 379-0668

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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