Individual
JEFFREY ROBERT TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1633 CYPRESS LN, PARADISE, CA 95969-2823
(530) 877-9316
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
11796
CA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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