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Individual

TYLER DUNHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
309 S. SHARON AMITY ROAD, SUITE 104, CHARLOTTE, NC 28211-2886
(704) 372-7660
(704) 372-7659
Mailing address
660 W LINCOLN HWY, EXTON, PA 19341-2514
(610) 873-6733
(610) 873-6735

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
09/18/2013
Last updated
02/27/2014
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