Tyler Gentry Park, PT

NPI #1871946574 in Albany, Oregon

Provider Information

NPI Number: 1871946574
Entity Type: Individual
Name: Tyler Gentry Park, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 18, 2016
Last Updated: Nov 4, 2020

Practice Location

Address: 400 HICKORY ST NW
Address 2: SUITE 201
City: Albany
State: Oregon
ZIP Code: 97321-1700
Phone: (541) 812-5840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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