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Individual
TIMOTHY DANIEL BROMHEAD
Active
Individual
TIMOTHY DANIEL BROMHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305207338
VA
225100000X
Physical Therapist
Primary
26161
FL
225100000X
Physical Therapist
6372
SC
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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