Lei Collette Ong Tan
Occupational Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1124583752
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1124583752
- Entity type
- Individual (NPI-1)
- Name
- Lei Collette Ong Tan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 7, 2019
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | |
| 225XG0600X | Occupational Therapist, Gerontology | – | – |
Practice location
330 Crown St Fl 5Brooklyn, NY 11225-3004
Phone 763-464-3861
Mailing address
675 3rd Ave Fl 5New York, NY 10017-5731
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