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Individual
MR. TIM M ELSER
Active
Individual
MR. TIM M ELSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-003633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494925
ANTHEM
OH
05
—
2733108
—
OH
01
—
415735
WELLCARE
OH
Enumeration date
10/31/2006
Last updated
01/14/2020
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