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1184113748
TIMOTHY MACON
WASHINGTON, DC
NPI
1184113748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DC PTA000159)
Enumeration Date
2018-05-08
Last Update Date
2018-05-08
Business Address
TIMOTHY MACON PTA
6200 OREGON AVE NW
WASHINGTON, DC 20015-1543
Phone number: 202-541-0150
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Mailing Address
TIMOTHY MACON PTA
79 POTOMAC AVE SE APT 942
WASHINGTON, DC 20003-3749
Phone number:
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