| NPI | 1013377266 |
|---|---|
| Former Name | TANYA TEPEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016005644) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022017) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2026-05-11 |