Individual
MR. MICHAEL ALAN TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
9404 BRIGHTHAVEN LN, CHARLOTTE, NC 28214-1011
(704) 392-0430
Mailing address
9404 BRIGHTHAVEN LN, CHARLOTTE, NC 28214-1011
(704) 392-0430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4894
NC
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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