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Individual
MR. TIMOTHY NOEL HEIMAN
Active
Individual
MR. TIMOTHY NOEL HEIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007403
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000479948
ANTHEM BLUE CROSS
OH
05
—
2604631
—
OH
01
—
510443099027
CARESOURCE
OH
Enumeration date
10/20/2006
Last updated
06/20/2008
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