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NPI Code Detail

MEDICARE: CHRISTINA TYGIELSKI PT, DPT

MEDICARE:   CHRISTINA  TYGIELSKI  PT, DPT
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
1225100000XPhysical TherapistPTH9008AL
2225100000XPhysical TherapistPT.9323SC

General Provider Information

NPI Number : 1336614460
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA TYGIELSKI PT, DPT
Provider Business Mailing Address
First Line : 400 RHETT ST APT 114
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-5027
Country : US
Telephone Number : 256-424-3223
Fax Number :
Provider Business Practice Location Address
First Line : 716 E CEDAR ROCK ST
Second Line :
City : PICKENS
State : SC
Zip : 29671-2324
Country : US
Telephone Number : 864-878-4739
Fax Number : 864-878-1657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2018
Last Update Date : 10/04/2018

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