Individual
MARY KAYE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
171 KEMPSVILLE RD BLDG A, NORFOLK, VA 23502-4700
(757) 668-6581
(757) 668-6588
Mailing address
277 MANNINGS LN, VIRGINIA BEACH, VA 23462-4362
(757) 499-2005
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305000614
VA
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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