Tyler Michael Bacarro
Tyler Michael Bacarro is a Physical Therapist in San Rafael, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1099 D St Ste 105San Rafael, CA 94901-2839
Phone: (415) 532-8335
Fax: (415) 721-7346
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 299436 (CA) |
|---|
Record details
| NPI number | 1922694660 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 16, 2020 |
| Last updated in NPPES | December 16, 2020 |
| Certification date | December 16, 2020 |
| Mailing address | 219 9th Ave, San Francisco, CA 94118-2208 |
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