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Individual
MR. TIMOTHY JON TERRIO
Active
Individual
MR. TIMOTHY JON TERRIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133052274
BLUE CROSS OF CA
CA
01
—
193518600
US DEPT OF LABOR
CA
Enumeration date
05/27/2008
Last updated
08/24/2018
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