| NPI | 1225067754 |
|---|---|
| Former Name | MICHELLE TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT015379) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA DAPT000033) |
| 227900000X Respiratory Therapist, Registered (Licence: PA RT003029) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-09-16 |