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Individual
MR. TIMOTHY VILLAMATER
Active
Individual
MR. TIMOTHY VILLAMATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016172
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15679891
CAQH NUMBER
—
Enumeration date
08/02/2022
Last updated
03/11/2024
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