Individual
MARIE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7120
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19853
NC
Other
Enumeration date
08/08/2019
Last updated
06/27/2024
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