Individual
TIMOTHY S DOANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., ATC
Contact information
Practice address
641 TAYLOR ST, BETHLEHEM, PA 18015-3107
(610) 758-6303
(610) 758-6850
Mailing address
1329 CRESTWOOD RD, BETHLEHEM, PA 18018-1711
(610) 954-7953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001987A
PA
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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