Tyler Thomas, CRPA-T

NPI #1801386396 in Ithaca, New York

Provider Information

NPI Number: 1801386396
Entity Type: Individual
Name: Tyler Thomas, CRPA-T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRPA-T
Enumeration Date: May 10, 2018
Last Updated: May 10, 2018

Practice Location

Address: 201 E GREEN ST
City: Ithaca
State: New York
ZIP Code: 14850-5635
Phone: (607) 274-6288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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