Individual
MATTHEW TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 MCREYNOLDS DR, ANGWIN, CA 94508-9746
(828) 808-3068
Mailing address
285 MCREYNOLDS DR, ANGWIN, CA 94508-9746
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
25182
CA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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