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Individual
TIMOTHY C GOULD
Active
Individual
TIMOTHY C GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0097216
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3987644
AETNA
—
01
—
64674501
BCMD
—
01
—
S8880012
BCDC
—
Enumeration date
12/02/2005
Last updated
07/17/2018
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