Most Relevant Information
Provider Data
| NPI Number: | 1003340118 |
| Provider Name: | JENNIFER TANG OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 14101 |
Most Important Dates
| Enumeration Date: | 04/14/2017 |
| Last Updated: | 05/29/2020 |
Provider Practice Location
9808 VENICE BLVD STE 505
CULVER CITY
CA
902326818
Practice Location Phone/Fax
| Phone: | 3109453350 |
| Fax: | 3109453356 |
Provider Mailing Location
9808 VENICE BLVD STE 505
CULVER CITY
CA
902326818
Provider Mailing Phone/Fax
| Phone: | 3109453350 |
| Fax: | 3109453356 |