Individual
KIMBERLY TYCZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 DANS WAY, BRUNSWICK, ME 04011-7839
(207) 373-6177
Mailing address
4 DANS WAY, BRUNSWICK, ME 04011-7839
(207) 373-6177
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2373
ME
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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