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1295340164
TIMOTHY NOVOM
LOS ANGELES, CA
NPI
1295340164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 299044)
Enumeration Date
2020-09-09
Last Update Date
2022-02-10
Business Address
TIMOTHY NOVOM PT, DPT, CSCS
6214 W MANCHESTER AVE
LOS ANGELES, CA 90045-3801
Phone number: 310-348-8464
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Mailing Address
TIMOTHY NOVOM PT, DPT, CSCS
26409 ASHFORK PL
RANCHO PALOS VERDES, CA 90275-1701
Phone number: 310-989-3062
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