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1710425210
TANNER RAY TIMMERMAN
COUNCIL BLUFFS, IA
NPI
1710425210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 3673)
Enumeration Date
2017-02-03
Last Update Date
2018-03-17
Business Address
Mr. TANNER RAY TIMMERMAN PT, DPT
301 W BROADWAY STE 100
COUNCIL BLUFFS, IA 51503-9071
Phone number: 712-322-9688
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Mailing Address
Mr. TANNER RAY TIMMERMAN PT, DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-1980
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