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1336343490
TIMOTHY M THERIAULT
ADDISON, TX
NPI
1336343490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1069417)
Enumeration Date
2007-06-13
Last Update Date
2022-05-14
Business Address
Dr. TIMOTHY M THERIAULT PT
17051 DALLAS PKWY STE 430
ADDISON, TX 75001-7111
Phone number: 469-248-3962
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Mailing Address
Dr. TIMOTHY M THERIAULT PT
242 STANLEY FALLS DR
ANNA, TX 75409-5049
Phone number: 469-487-9890
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