TIMOTHY JOHN OBRIEN

DURANGO, CO
NPI1609803758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: IL  1428)
Additional Taxonomies224P00000X Prosthetist
(Licence: IL  1428)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
Mr. TIMOTHY JOHN OBRIEN C.P.O.
1 MERCADO ST 203
DURANGO, CO 81301-7300
Phone number: 970-259-9258
Mailing Address
Mr. TIMOTHY JOHN OBRIEN C.P.O.
1 MERCADO ST 203
DURANGO, CO 81301-7300
Phone number: 970-259-9258