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Tyler Jay Burdsall, PT, DPT

Physical Therapist, Orthopedic in South Pasadena, FL. Individual provider (NPI-1).

NPI number1962080903
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1962080903
Entity type
Individual (NPI-1)
Name
Tyler Jay Burdsall
Credential
PT, DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 31, 2021
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic33747FLYes

Practice location

1615 Pasadena Ave S Ste 150
South Pasadena, FL 33707-4517

Phone 813-978-9700 · Fax 813-558-6185

Mailing address

13020 N Telecom Pkwy
Temple Terrace, FL 33637-0915

Phone 813-978-9700 · Fax 813-558-6185

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