Individual
ERIC E TYWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1519 EAST SPRING ST STE G, COOKEVILLE, TN 38506
(606) 224-6915
Mailing address
370 S LOWE AVE STE A, COOKEVILLE, TN 38501-4707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3101
TN
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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