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Contact Information

TYLER BORDICK
631
SCENIC RIDGE DR
VENETIA, PA15367
 Phone: 724-954-2064
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for TYLER BORDICK · (Male)

NPI Number 1083083703
Status Active
Credentials
Entity Individual
Enumeration date 09/23/2015
Last updated 09/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 033506
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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