Tyler Fossen, DPT

NPI #1073085460 in Aberdeen, Washington

Provider Information

NPI Number: 1073085460
Entity Type: Individual
Name: Tyler Fossen, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Dec 22, 2018
Last Updated: Dec 22, 2018

Practice Location

Address: 920 ANDERSON DR
City: Aberdeen
State: Washington
ZIP Code: 98520-1007
Phone: (360) 532-5122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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