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NPI Code Detail

MEDICARE: CHERIE TANG OTR/L

MEDICARE: CHERIE TANG OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1750915179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERIE TANG OTR/L
Provider Business Mailing Address
First Line : 10820 BEVERLY BLVD
Second Line : STE A5 PMB 1029
City : WHITTIER
State : CA
Zip : 90601
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33 MATEO AVE
Second Line :
City : MILLBRAE
State : CA
Zip : 94030-2037
Country : US
Telephone Number : 650-689-5784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2020
Last Update Date : 02/25/2020

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Directions to “ CHERIE TANG OTR/L” Practice Location

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