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1871701367
TIMOTHY D MILLER
JOPLIN, MO
NPI
1871701367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 115302)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
-- TIMOTHY D MILLER PTA
4500 E 32ND ST
JOPLIN, MO 64804
Phone number: 417-623-6287
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Mailing Address
-- TIMOTHY D MILLER PTA
4500 E 32ND ST
JOPLIN, MO 64804
Phone number: 417-623-6287
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