Individual
AMANDA JULIENNE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 101, HAGERSTOWN, MD 21742-6711
(301) 665-4950
(301) 665-4956
Mailing address
11110 MEDICAL CAMPUS RD STE 205, HAGERSTOWN, MD 21742-6797
(301) 665-4950
(301) 665-4956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25196
MD
2251N0400X
Neurology Physical Therapist
003427
WV
2251X0800X
Orthopedic Physical Therapist
003427
WV
Other
Enumeration date
12/20/2014
Last updated
04/24/2020
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