Individual
OLIVIA TYRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8607 WESTWOOD CENTER DR STE 7, VIENNA, VA 22182-7506
(703) 313-1930
Mailing address
8607 WESTWOOD CENTER DR STE 7, VIENNA, VA 22182-7506
(703) 313-1930
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1201139845
TN
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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