Individual
TYLER OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 FOXBANK PLANTATION BLVD STE E, MONCKS CORNER, SC 29461-6706
(843) 761-4622
Mailing address
1713 CHERYL LN, SUMMERVILLE, SC 29486-7937
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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