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1912118803
TIMOTHY JAMES
GREENFIELD, WI
NPI
1912118803
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Former Name
TIMOTHY JAMES DAVIDSON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 3615-24)
Enumeration Date
2007-05-24
Last Update Date
2012-11-27
Business Address
Mr. TIMOTHY JAMES P.T.
7517 W. COLDSPRING RD. GREENFIELD REHABILITATION AGENCY INC.
GREENFIELD, WI 53220
Phone number: 920-559-0765
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Mailing Address
Mr. TIMOTHY JAMES P.T.
625 LAKESHORE DR APT 6
KEWAUNEE, WI 54216-8910
Phone number: 920-785-3145
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