Individual
JUSTIN TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4024 LAWRENCEVILLE HWY NW STE 19&20, LILBURN, GA 30047-2999
(770) 931-8686
Mailing address
5380 GLADE PARK DR, LILBURN, GA 30047-2572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015685
GA
Other
Enumeration date
01/27/2025
Last updated
02/03/2025
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