Doctor Name: | DR. PHILLIP TYRE |
NPI Number: | 1548292311 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT018143 |
Business Practice Address: | 22830 & 22832 Sussex Highway Suites 13 & 14 Seaford, DE - 199735862 |
Business Phone Number: | 3025365562 |
Business Fax Number: | 3026285313 |
Mailing Address: | 790 Remington Blvd, BOLINGBROOK |
State: | IL |
Postal Code: | 604404909 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 12/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT018143 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |