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Individual
TIMOTHY CHAMBERLAIN
Active
Individual
TIMOTHY CHAMBERLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,MHSC, MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
014258-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364819
MVP
NY
01
—
823080
MANAGED PHYSICAL NETWORK
NY
01
—
P3176070
OXFORD
NY
Enumeration date
07/26/2006
Last updated
07/08/2007
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