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Individual
MR. TIMOTHY MICHAEL JENKINS
Active
Individual
MR. TIMOTHY MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC,PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE008371
PA
2255A2300X
Athletic Trainer
Primary
RT001045A
PA
Other
Enumeration date
10/18/2005
Last updated
01/30/2010
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