Individual
TYLER DEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
535 IRVING SCHOTTENSTEIN DR, COLUMBUS, OH 43210-1044
(614) 292-1164
Mailing address
1812 STORROW DR, LEWIS CENTER, OH 43035-7085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004449
OH
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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