Individual
WESLEY TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9139B TRINITY RD, CHARLOTTE, NC 28216-1900
(336) 324-1617
Mailing address
12241 SAVANNAH GARDEN DR, CHARLOTTE, NC 28273-3904
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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