Individual
TIMOTHY NELSON TASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 HILLTOP DR, WEATHERFORD, TX 76086-5488
(765) 210-9738
Mailing address
2100 NW 3RD AVE, MINERAL WELLS, TX 76067-2921
(765) 210-9738
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
214121
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214121
INSURANCE
TX
05
—
214121
—
TX
Enumeration date
09/13/2018
Last updated
09/13/2018
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