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Individual
MR. TIMOTHY W MYERS
Active
Individual
MR. TIMOTHY W MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013505L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50004083
CAPITOL BLUE CROSS
PA
01
—
MY634752
BLUE SHEILD
PA
Enumeration date
08/09/2005
Last updated
07/08/2007
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