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Contact Information

MARY E FLORENDO TAN, OTR/L
140 W SAN JOSE AVE
CLAREMONT, CA91711-5204
 Phone: 909-621-2780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY E FLORENDO TAN · (Female)

NPI # 1083942148
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 12/01/2009
Last updated 12/01/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # OT 1109
  • CA License # OT1109
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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