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Individual
TYLER B GILSON
Active
Individual
TYLER B GILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT002728
PA
225100000X
Physical Therapist
PHYP2276
AK
225100000X
Physical Therapist
Primary
PT020656
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025027750001
—
PA
Enumeration date
07/16/2010
Last updated
05/14/2021
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