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Individual
TIMOTHY WILLIAM PIECZARA
Active
Individual
TIMOTHY WILLIAM PIECZARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC, EMT
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0966488
PA
2255A2300X
Athletic Trainer
Primary
3124-39
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/25/2019
Last updated
09/26/2023
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