Individual
MS. JANE PAULA TYMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
30116 EIGENBRODT WAY, UNION CITY, CA 94587-1225
(203) 510-6008
Mailing address
6602 N CIBOLA, TUCSON, AZ 85718-1609
(203) 510-6008
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
30274
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30274
PHYSICAL THERAPY CALIFORNIA LICENSE
CA
Enumeration date
02/15/2011
Last updated
02/15/2011
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