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Individual

MS. BARBARA J TYLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RECREATIONAL THERAPI

Contact information

Practice address
1400 W MAIN ST, SUITE G,, CARBONDALE, IL 62901-2276
(618) 351-9927
Mailing address
1400 W MAIN ST, SUITE G, P.O. BOX 243, CARBONDALE, IL 62901-2276
(618) 351-9927

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary

Other

Enumeration date
12/01/2007
Last updated
12/01/2007
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