Tyler Wasson

NPI 1942495015 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1942495015
Gender Male
Enumeration Date 09/11/2007
Last Updated 09/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
625 FAIR OAKS AVE
SUITE 300
SOUTH PASADENA CA, 91030-2630, US
Phone (626) 395-7100
Fax
Business Location
625 FAIR OAKS AVE
SUITE 300
SOUTH PASADENA CA, 91030-2630, US
Phone (626) 395-7100
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Tyler Wasson NPI is 1942495015, taxonomy code is 225400000X Tyler Wasson physically located at 625 Fair Oaks Ave, South Pasadena CA, 91030-2630. NPI Number Tyler Wasson has the Individual type.

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1942495015 NPI number is provided on an as is basis without warranty of any kind. 1942495015 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Wasson are for informational purposes only.