MR. Clint A Tan, PT

NPI #1639369796 in Davison, Michigan

Provider Information

NPI Number: 1639369796
Entity Type: Individual
Name: MR. Clint A Tan, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 25, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 9301 CHARTER OAKS DR
City: Davison
State: Michigan
ZIP Code: 48423-3390
Phone: (989) 400-6999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Geriatrics — Geriatrics	2251G0304X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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