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1366577801
TIMOTHY M WHEELAHAN
SHREVEPORT, LA
NPI
1366577801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 00469)
Enumeration Date
2007-02-23
Last Update Date
2019-07-29
Business Address
TIMOTHY M WHEELAHAN PT
8835 LINE AVE STE 100
SHREVEPORT, LA 71106-6731
Phone number: 318-681-5633
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Mailing Address
TIMOTHY M WHEELAHAN PT
PO BOX 5477
SHREVEPORT, LA 71135-5477
Phone number: 318-681-5633
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