NPI 1134143258

Timothy D Tyson, BSTRS

Practitioner Recreation Therapist Wilkes-Barre, PA

Practice location

Address: VA Medical Center 1111 East End Blvd., Wilkes-Barre, PA 18711-0030
Phone: (570) 824-3521
Fax: (570) 819-5143
Mailing address: 17 Colony Dr, Mountain Top, PA 18707-2218

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Pennsylvania →

Registry record

NPI: 1134143258
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jul 2006
Record last updated: 8 Jul 2007

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.