Individual
DR. JILLIAN TANYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
MERCY HOSPITAL, 4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 236-8574
(763) 236-8990
Mailing address
MERCY HOSPITAL, 4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 236-8574
(763) 236-8990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10840
MN
Other
Enumeration date
06/08/2017
Last updated
04/09/2020
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