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Individual
TIMOTHY RUSSELL MAGER
Active
Individual
TIMOTHY RUSSELL MAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0036531
NY
225X00000X
Occupational Therapist
OC000887L
PA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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