Individual
TIMOTHY KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 LANTERN CREST WAY, SANTEE, CA 92071-4646
(949) 290-7144
Mailing address
PO BOX N, DEL MAR, CA 92014-0376
(949) 290-7144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
12/31/2016
Last updated
12/31/2016
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