Maybelline Tan
Occupational Therapist, Pediatrics in Mamaroneck, NY. Individual provider (NPI-1).
NPI number1760635932
StatusActive
Last updated in NPPESOct 31, 2008
Details
- NPI
- 1760635932
- Entity type
- Individual (NPI-1)
- Name
- Maybelline Tan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2008
- Last updated
- Oct 31, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 009479-1 | NY | Yes |
Practice location
300 Livingston AveApt. 2j
Mamaroneck, NY 10543-3500
Phone 917-453-2508
Mailing address
300 Livingston AveApt. 2j
Mamaroneck, NY 10543-3500
Phone 917-453-2508
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