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Individual

MR. CHARLES THOMAS TYNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
301 W AIRLINE HWY, SUITE 104, LA PLACE, LA 70068-3823
(985) 653-9242
(985) 653-9324
Mailing address
7133 EDGEWATER DR, MANDEVILLE, LA 70471-7431
(985) 653-9242
(985) 653-9324

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
LA4433
LA
2251S0007X
Sports Physical Therapist
LA4433
LA
2251X0800X
Orthopedic Physical Therapist
Primary
LA4433
LA

Other

Enumeration date
07/14/2006
Last updated
09/11/2025
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