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Individual

CHANCE TIMOTHY NICOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3019 GEARY BLVD, SAN FRANCISCO, CA 94118-3314
(415) 387-6564
Mailing address
11 SANTA RITA AVE, SAN FRANCISCO, CA 94116-1465

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
09/18/2019
Last updated
09/18/2019
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