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Individual
TIM J JALBERT
Active
Individual
TIM J JALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0029
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA286682
CERTIFICATION
SD
Enumeration date
11/07/2008
Last updated
06/02/2015
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