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NPI Code Detail

MEDICARE: PATRICK TYLER PHYSICAL THERAPIST A

MEDICARE: PATRICK TYLER PHYSICAL THERAPIST A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant010253NY

General Provider Information

NPI Number : 1275205163
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK TYLER PHYSICAL THERAPIST A
Provider Business Mailing Address
First Line : 11 HOLT DR
Second Line :
City : STONY POINT
State : NY
Zip : 10980-1919
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11 HOLT DR
Second Line :
City : STONY POINT
State : NY
Zip : 10980-1919
Country : US
Telephone Number : 845-558-0587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ PATRICK TYLER PHYSICAL THERAPIST A” Practice Location

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