AMANDA BERNICE TAN

CHICAGO, IL
NPI1609497593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160006690)
Enumeration Date2020-05-01
Last Update Date2020-05-01
Business Address
-- AMANDA BERNICE TAN PTA
2815 W HOWARD ST APT 2E
CHICAGO, IL 60645-1200
Phone number: 872-202-6231
Mailing Address
-- AMANDA BERNICE TAN PTA
2815 W HOWARD ST APT 2E
CHICAGO, IL 60645-1200
Phone number: 872-202-6231