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Christy Tyquiengco, PTA

Physical Therapy Assistant in Virginia Beach, VA. Individual provider (NPI-1).

NPI number1164030003
StatusActive
Last updated in NPPESJul 16, 2020

Details

NPI
1164030003
Entity type
Individual (NPI-1)
Name
Ms. Christy Tyquiengco
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 16, 2020
Certification date
Jul 16, 2020
Last updated
Jul 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306605280VAYes

Other names

  • Christy Tyquiengco (Professional Name)

Practice location

3100 Shore Dr
Virginia Beach, VA 23451-1467

Phone 800-392-9187

Mailing address

1800 Gravenhurst Dr
Virginia Beach, VA 23464-8656

Phone 787-371-1401

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