Individual
TYLER IVAN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 BERKS ST, READING, PA 19604-1301
(610) 914-3223
Mailing address
1855 BERKS ST, READING, PA 19604-1301
(610) 914-3223
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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