Individual
JOSHUA TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
(386) 755-3165
Mailing address
945 SW MAIN BLVD, LAKE CITY, FL 32025-5746
(386) 755-3164
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
29813
FL
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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