Individual
MS. SANDRA DIANE TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(202) 854-7100
Mailing address
1514 JOHNATHAN ST, HYATTSVILLE, MD 20782-3457
(202) 854-7657
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0542
DC
Other
Enumeration date
06/07/2019
Last updated
06/07/2019
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