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: |