Individual
MR. DAVID ANTHONY TYLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(724) 940-3468
Mailing address
174 JORDAN CT, LIMERICK, PA 19468-4355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005826
PA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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