Individual
MRS. ERICA RENEE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1308 N BEDELL AVE, DEL RIO, TX 78840-7818
(830) 774-1556
(830) 774-6150
Mailing address
1001 N BEDELL AVE, APT 3, DEL RIO, TX 78840-4166
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1191089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210111501
—
TX
Enumeration date
09/01/2009
Last updated
07/13/2015
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