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1750390787
TIMOTHY LARSON PURCELL
PARAMUS, NJ
NPI
1750390787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NJ 40QA00794600)
Enumeration Date
2006-08-07
Last Update Date
2018-11-13
Business Address
TIMOTHY LARSON PURCELL PT
162 GARDEN AVE
PARAMUS, NJ 07652-1937
Phone number: 201-401-0859
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Mailing Address
TIMOTHY LARSON PURCELL PT
162 GARDEN AVE
PARAMUS, NJ 07652-1937
Phone number: 201-401-0859
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