Tylar Mackenzie Fallaw, OT

NPI #1164002382 in Rome, Georgia

Provider Information

NPI Number
1164002382
Entity Type
Individual
Name
Tylar Mackenzie Fallaw, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Credential
OT
Enumeration Date
Apr 12, 2021
Last Updated
Jun 19, 2025

Practice Location

Address
212 W 3RD ST SW
City
Rome
State
Georgia
ZIP Code
30165-2802
Phone
(706) 295-4260

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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