KATRINA EMMANUELLE TAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021811

License Status

ACTIVE

Business

First Name

KATRINA

Middle

EMMANUELLE

Last Name

TAN

Business Name

KATRINA EMMANUELLE TAN

Original Issue Date

09/01/2015

Effective Date

09/28/2024

Expiration Date

09/30/2026

City

ASTORIA

State

Zip

97103

Ever Disciplined

LastModifiedDate

09/28/2024