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Tyler Craun

Physical Therapist in Port Orange, FL. Individual provider (NPI-1).

NPI number1962037754
StatusActive
Last updated in NPPESMar 11, 2020

Details

NPI
1962037754
Entity type
Individual (NPI-1)
Name
Tyler Craun
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2020
Certification date
Mar 11, 2020
Last updated
Mar 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

5535 S Williamson Blvd Ste 705
Port Orange, FL 32128-8311

Phone 386-231-6327

Mailing address

1717 Savannah Ln
Port Orange, FL 32128-7509

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