Poh Heng Anthony Tan

NPI #1508635053 in Rexburg, Idaho

Provider Information

NPI Number: 1508635053
Entity Type: Individual
Name: Poh Heng Anthony Tan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Dec 26, 2023
Last Updated: Dec 26, 2023

Practice Location

Address: 268 S 3RD W APT 1
City: Rexburg
State: Idaho
ZIP Code: 83440-2278
Phone: (208) 757-9150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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