Individual
MRS. AMY M TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 RIVERSIDE DR, SUITE 300-A, MACON, GA 31210-2550
(478) 471-1004
(478) 471-1048
Mailing address
248 TOM HILL SR BLVD, # 331, MACON, GA 31210-1815
(478) 471-1004
(478) 471-1048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA001627
GA
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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