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Individual

GARY WAYNE TIHLARIK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2140 KINGSLEY AVE STE 5, ORANGE PARK, FL 32073-5129
(904) 272-2830
Mailing address
2140 KINGSLEY AVE STE 5, ORANGE PARK, FL 32073-5129
(904) 272-2830

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32197
FL

Other

Enumeration date
07/26/2022
Last updated
07/26/2022
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