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Individual
AMANDA JULIENNE TYLER
Active
Individual
AMANDA JULIENNE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25196
MD
2251N0400X
Neurology Physical Therapist
003427
WV
2251X0800X
Orthopedic Physical Therapist
003427
WV
Other
Enumeration date
12/20/2014
Last updated
04/24/2020
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