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1366067852
TYLER CARL SHANDRA
LOVELAND, CO
NPI
1366067852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CO 0017021)
Enumeration Date
2020-06-10
Last Update Date
2021-01-27
Business Address
TYLER CARL SHANDRA DPT
2175 E 11TH ST
LOVELAND, CO 80537-3238
Phone number: 970-593-9300
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Mailing Address
TYLER CARL SHANDRA DPT
217 N MELDRUM ST
FORT COLLINS, CO 80521-2022
Phone number: 714-743-7311
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