Tyler Bordick

NPI #1083083703 in Fort Ashby, West Virginia

Provider Information

NPI Number: 1083083703
Entity Type: Individual
Name: Tyler Bordick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 1 DIANE DRIVE
Address 2: DAWNVIEW CENTER
City: Fort Ashby
State: West Virginia
ZIP Code: 26719
Phone: (304) 298-3602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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