Individual
MS. MICHELE DAWN TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 PRICE DR, ELKTON, MD 21921-6731
(410) 398-6474
(410) 398-0256
Mailing address
3208 HOLLY KNOLL CT, ABINGDON, MD 21009-2746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1228
MD
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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