Individual
TYLER SCHORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5501 BACKLICK RD, SUITE 118, SPRINGFIELD, VA 22151-3933
(703) 750-1204
(703) 750-1206
Mailing address
9914 FAIRFAX SQ, APT 66, FAIRFAX, VA 22031-4214
(301) 559-3199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005395
VA
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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