Individual
TYLER BORDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 DIANE DRIVE, DAWNVIEW CENTER, FORT ASHBY, WV 26719
(304) 298-3602
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033506
WV
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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