Individual
MR. TIMOTHY JON O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1300 S 320TH ST, FEDERAL WAY, WA 98003-5359
(253) 946-2960
Mailing address
32522 1ST PL S, FEDERAL WAY, WA 98003-5711
(253) 517-9622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
0738
NH
225200000X
Physical Therapy Assistant
Primary
P1 60041032
WA
Other
Enumeration date
11/25/2009
Last updated
12/17/2009
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