| NPI | 1013588391 |
|---|---|
| Former Name | JOANNE SHURU TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 300192) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 11751) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-14 |