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Individual

RODNEY N. TYLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L, CHT

Contact information

Practice address
209 W MAIN ST, MONCKS CORNER, SC 29461-2604
(843) 899-5374
Mailing address
104 MACFARREN LN, SUMMERVILLE, SC 29485-4062
(843) 821-9934

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2237
SC
225XH1200X
Hand Occupational Therapist
1051100326
SC

Other

Enumeration date
08/10/2006
Last updated
10/09/2007
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