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1215088059
TIMOTHY ANDREW FLICKER
CHUBBUCK, ID
NPI
1215088059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT-1884)
Enumeration Date
2007-01-16
Last Update Date
2014-12-31
Business Address
Dr. TIMOTHY ANDREW FLICKER MPT, DPT, CSCS
4922 YELLOWSTONE AVE STE J
CHUBBUCK, ID 83202-2360
Phone number: 208-237-1882
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Mailing Address
Dr. TIMOTHY ANDREW FLICKER MPT, DPT, CSCS
2839 MARGO LN
POCATELLO, ID 83201-1961
Phone number: 208-406-2057
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