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Individual

TYLER DINNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 262-7800
(907) 262-7800
Mailing address
35105 KENAI SPUR HWY STE A, SOLDOTNA, AK 99669-7658
(907) 262-7800
(907) 262-7800

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
2862
AK

Other

Enumeration date
06/12/2015
Last updated
06/12/2015
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