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1245013275
TIMOTHY SHEA
LONGMONT, CO
NPI
1245013275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0015405)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
TIMOTHY SHEA PTA
701 DELAWARE AVE UNIT E
LONGMONT, CO 80501-6498
Phone number: 720-204-4567
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Mailing Address
TIMOTHY SHEA PTA
701 DELAWARE AVE UNIT E
LONGMONT, CO 80501-6498
Phone number: 720-204-4567
Copy
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