Sarah Lane Tyson, PTA

NPI #1902391709 in Benbrook, Texas

Provider Information

NPI Number: 1902391709
Entity Type: Individual
Name: Sarah Lane Tyson, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 25, 2018
Last Updated: Jun 25, 2018

Practice Location

Address: 6080 SOUTHWEST BLVD
City: Benbrook
State: Texas
ZIP Code: 76109-3912
Phone: (817) 731-9331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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