TIMOTHY SCOTT ZICKUS

SWANSEA, IL
NPI1609920818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2003011115)
Enumeration Date2007-01-23
Last Update Date2011-05-04
Business Address
Mr. TIMOTHY SCOTT ZICKUS M.P.T.
221 W POINTE DR SUITE 1
SWANSEA, IL 62226-8306
Phone number: 314-603-8299
Mailing Address
Mr. TIMOTHY SCOTT ZICKUS M.P.T.
3401 MACKLIND AVE
SAINT LOUIS, MO 63139-1540
Phone number: 314-352-0615
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