Individual
PROF. TIM RJ PASSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D., CTRS
Contact information
Practice address
3124 W 24TH AVE, STILLWATER, OK 74074-2101
(405) 744-1811
(405) 744-6507
Mailing address
3124 W 24TH AVE, STILLWATER, OK 74074-2101
(405) 744-1811
(405) 744-6507
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
04/13/2010
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