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Individual
TYLER SEABOURN
Active
Individual
TYLER SEABOURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1304971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1304971
PHYSICAL THERAPY
TX
Enumeration date
06/13/2018
Last updated
06/13/2018
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