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1417933953
TIMOTHY JAMES WITTENAUER
MIDLOTHIAN, VA
NPI
1417933953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305004636)
Enumeration Date
2005-12-16
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY JAMES WITTENAUER
108 WALTON PARK LN
MIDLOTHIAN, VA 23114-3028
Phone number: 804-560-9575
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Mailing Address
Mr. TIMOTHY JAMES WITTENAUER
108 WALTON PARK LN
MIDLOTHIAN, VA 23114-3028
Phone number: 804-560-9575
Copy
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