Individual
TIMOTHY ATHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1868 E BEECHER HILL RD, OWEGO, NY 13827-3815
(607) 743-5910
Mailing address
1868 E BEECHER HILL RD, OWEGO, NY 13827-3815
(607) 743-5910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014304
NY
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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