Individual
TYLER WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 RED MULBERRY WAY, LILLINGTON, NC 27546-9633
(910) 814-8030
Mailing address
817 CALICO CREEK DR, GARNER, NC 27529-5958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9098
NC
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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