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1114264835
TIMOTHY CRENSHAW
PALM COAST, FL
NPI
1114264835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS 3863)
Enumeration Date
2013-01-15
Last Update Date
2013-01-15
Business Address
-- TIMOTHY CRENSHAW
25 PINE CONE DR
PALM COAST, FL 32164-8423
Phone number: 800-796-0923
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Mailing Address
-- TIMOTHY CRENSHAW
8877 WINTER CT
MOBILE, AL 36695-5305
Phone number: 251-377-9175
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