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Individual
TIMOTHY NELSON TASKER
Active
Individual
TIMOTHY NELSON TASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
214121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214121
INSURANCE
TX
05
—
214121
—
TX
Enumeration date
09/13/2018
Last updated
09/13/2018
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