MRS. Myra Jane Tangen, PTA

NPI #1275740433 in Clio, Michigan

Provider Information

NPI Number
1275740433
Entity Type
Individual
Name
MRS. Myra Jane Tangen, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
6272 W WILSON RD
City
Clio
ZIP Code
48420-9462
Phone
(810) 686-9274

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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