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Individual
MR. TIMOTHY LYN BICKFORD
Active
Individual
MR. TIMOTHY LYN BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1075331
TX
2255A2300X
Athletic Trainer
AT1627
TX
Other
Enumeration date
04/24/2007
Last updated
04/30/2020
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