NPI 1003171240

Mylady Tirado, PTA

Practitioner Physical Therapy Assistant Richmond, VA

Practice location

Address: 1201 Broad Rock Blvd, Richmond, VA 23249-0001
Phone: (804) 675-6588
Fax: (804) 675-5335

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1710 (PR)

Other Physical Therapy Assistant providers in Virginia →

Registry record

NPI: 1003171240
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jul 2012
Record last updated: 12 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.