Individual
ED TYBURSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
18480 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-3379
(941) 743-4700
Mailing address
6279 COLISEUM BLVD, PORT CHARLOTTE, FL 33981-6182
(941) 380-5031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6726
FL
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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