TIMOTHY WELLS

FORT WAYNE, IN
NPI1235631334
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002698A)
Enumeration Date2018-03-05
Last Update Date2018-03-05
Business Address
TIMOTHY WELLS LAT, ATC.
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 201-661-0666
Mailing Address
TIMOTHY WELLS LAT, ATC.
3946 ICE WAY
FORT WAYNE, IN 46808
Phone number: 201-661-0666
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