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Individual

DR. SHELLEY RAE TIMMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
213 ESTATE SMITHFIELD, FREDERIKSTED, VI 00840
(340) 244-2558
(000) 000-0000
Mailing address
PO BOX 2446, KINGSHILL, VI 00851-2446
(340) 244-2558
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
249
VI
261QP2000X
Physical Therapy Clinic/Center
249
VI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23001
PHYSICAL THERAPY LICENSE
CA
01
249
PHYSICAL THERAPY LICENSE
VI
Enumeration date
05/10/2007
Last updated
05/22/2023
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