Jeremy Tan

NPI #1245837889 in Bloomington, Minnesota

Provider Information

NPI Number: 1245837889
Entity Type: Individual
Name: Jeremy Tan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Oct 6, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 8100 NORTHLAND DR
City: Bloomington
State: Minnesota
ZIP Code: 55431-4800
Phone: (952) 993-4702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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