TYLER R CARROLL

ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC

Dr TYLER R CARROLL is a male medical professional, specializing in Physical Therapy. He graduated in 2012.

Contact

ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC

2542 S ALPINE RD
SUITE 102
ROCKFORD
IL
611087813

Tel: 8159975115

TYLER R CARROLL Information

Npi 1184985137
Pac Id 4880844034
Professional Enrollment Id I20121024000090
Last Name CARROLL
First Name TYLER
Middle Name R
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICAL THERAPY
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Secondary Specialty 4
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Organization Legal Name ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC
Group Practice Pac Id 4183692577
Number Of Group Practice Members 246
Line 1 Street Address 2542 S ALPINE RD
Line 2 Street Address SUITE 102
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City ROCKFORD
State IL
Zip Code 611087813
Phone Number 8159975115
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Professional Accepts Medicare Assignment Y

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