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Individual
TIMOTHY STEPHEN SKARADA
Active
Individual
TIMOTHY STEPHEN SKARADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
DAPT000025
PA
225100000X
Physical Therapist
PT010099L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027967
HIGHMARK
PA
01
—
650021206
RR MEDICARE
PA
Enumeration date
09/19/2005
Last updated
02/25/2013
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