Most Relevant Information
Provider Data
| NPI Number: | 1003539321 |
| Provider Name: | SHANNON TANG LA PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2022 |
| Last Updated: | 09/21/2022 |
Provider Practice Location
15768 ARROW HWY
IRWINDALE
CA
917062005
Practice Location Phone/Fax
| Phone: | 6269699800 |
| Fax: |
Provider Mailing Location
9320 MARSHALL ST
ROSEMEAD
CA
917702029
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |