TIMOTHY MACON

WASHINGTON, DC
NPI1184113748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: DC  PTA000159)
Enumeration Date2018-05-08
Last Update Date2018-05-08
Business Address
TIMOTHY MACON PTA
6200 OREGON AVE NW
WASHINGTON, DC 20015-1543
Phone number: 202-541-0150
Mailing Address
TIMOTHY MACON PTA
79 POTOMAC AVE SE APT 942
WASHINGTON, DC 20003-3749
Phone number: