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Individual

TYLER LEWIS VORRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, CSCS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106927
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106927
PHYSICAL THERAPY LICENSE
IA
Enumeration date
08/05/2021
Last updated
03/28/2025
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