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1639651243
TIMOTHY CARROLL
PHOENIX, AZ
NPI
1639651243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CO PTA.0014442)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
TIMOTHY CARROLL
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
TIMOTHY CARROLL
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number:
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