Individual
TYLER SCOTT FIDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16300 ROSCOE BLVD STE A1, VAN NUYS, CA 91406-1246
(442) 681-8893
Mailing address
304 N BRIGHTON ST, BURBANK, CA 91506-2104
(661) 342-4223
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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