Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1164918983 |
---|---|
Provider Name | Evelyn Tang |
First Address | Sunnyvale, CA 94086-7578 |
Second Address | Castro Valley, CA 94546-5918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2018 |
Last Update Date | 04/07/2018 |