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Individual

ALEXANDER TYSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 E FOOTHILL BLVD, PASADENA, CA 91107-3464
(626) 463-1021
Mailing address
501 TOOLEN PL, PASADENA, CA 91103-1340
(626) 797-1044

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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