Most Relevant Information
Provider Data
| NPI Number: | 1003358292 |
| Provider Name: | PAMELA TANNER |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2016 |
| Last Updated: | 09/19/2023 |
Provider Practice Location
23 PATMORE ASH WAY
APOPKA
FL
327034870
Practice Location Phone/Fax
| Phone: | 3212771832 |
| Fax: |
Provider Mailing Location
PO BOX 853
OCOEE
FL
347610853
Provider Mailing Phone/Fax
| Phone: | 3212771832 |
| Fax: |