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Individual

TIMOTHY T DILLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 E LOHMAN AVE, SUITE 110-201, LAS CRUCES, NM 88001-3167
(828) 384-1382
Mailing address
2001 E LOHMAN AVE, SUITE 110-201, LAS CRUCES, NM 88001-3167
(828) 384-1382

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088442
TX

Other

Enumeration date
05/23/2012
Last updated
05/23/2012
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