Individual
TYLAR MACKENZIE FALLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
212 W 3RD ST SW, ROME, GA 30165-2802
(706) 295-4260
Mailing address
212 W 3RD ST SW, ROME, GA 30165-2802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009572
GA
Other
Enumeration date
04/12/2021
Last updated
06/19/2025
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