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Individual

MR. TODD OTTO BYRNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR, CHT

Contact information

Practice address
6013 S BROADWAY AVE, TYLER, TX 75703-4410
(903) 363-9932
(800) 503-4607
Mailing address
2900 S CAMERON AVE, TYLER, TX 75701-7161
(903) 780-8957
(903) 787-7796

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
108108
TX
225XH1200X
Hand Occupational Therapist
Primary
108108
TX

Other

Enumeration date
05/12/2006
Last updated
08/06/2013
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