Individual
MARION BIANCA TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3890 REDWINE RD SW, SUITE 114, ATLANTA, GA 30331-5582
(404) 344-7880
Mailing address
3890 REDWINE RD SW, SUITE 114, ATLANTA, GA 30331-5582
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT012482
GA
Other
Enumeration date
09/08/2016
Last updated
01/18/2017
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