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1982852349
TIMOTHY DOUGLAS
DAPHNE, AL
NPI
1982852349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL 1922 PTA3551)
Enumeration Date
2008-08-28
Last Update Date
2008-08-28
Business Address
-- TIMOTHY DOUGLAS
101 VILLA DR
DAPHNE, AL 36526-4653
Phone number: 251-621-4431
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Mailing Address
-- TIMOTHY DOUGLAS
12451 WILDFLOWER DR
MOBILE, AL 36608-8798
Phone number:
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