Search › Virginia › 225XP0019X
Olivia Tyra
NPI 1295318186 · on the registry since 2021
Practice
- Address
- 8607 Westwood Center Dr Ste 7
Vienna, VA 22182 - Phone
- (703) 313-1930
- Organisation at this address
- Ot Wigs & Extensions Design Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225XP0019X
225XP0019X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia