TIMOTHY BIVENS

JACKSONVILLE, NC
NPI1780382978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  4174)
Enumeration Date2023-02-17
Last Update Date2023-02-17
Business Address
TIMOTHY BIVENS
225 WHITE ST
JACKSONVILLE, NC 28546-6351
Phone number: 910-353-7222
Mailing Address
TIMOTHY BIVENS
225 WHITE ST
JACKSONVILLE, NC 28546-6351
Phone number: 910-353-7222