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NPI Profile for MARY M TYSON in AUSTIN, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1659336147 |
|
| Status | Active | |
| Credentials | PT CHT | |
| Entity | Individual | |
| Enumeration date | 04/19/2006 | |
| Last updated | 11/20/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY M TYSON
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MARY M TYSON, PT CHT