| NPI | 1932154085 |
|---|---|
| Former Name | AIDEEN TAN KWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026520) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 026520) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 026520) | |
| 2251S0007X Physical Therapist, Sports (Licence: NY 026520) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-03-29 |