Individual
MICHAEL SIYLUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
62 CORALWOOD, IRVINE, CA 92618-2244
(949) 468-9161
Mailing address
62 CORALWOOD, IRVINE, CA 92618-2244
(949) 468-9161
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49865
CA
Other
Enumeration date
07/29/2019
Last updated
06/13/2021
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