Individual
MR. TIMOTHY D LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7335 E PALMER-WASILLA HIGHWAY, SUITE C, PALMER, AK 99645
(907) 746-7300
(907) 746-7302
Mailing address
22621 NORTHWOODS DR, CHUGIAK, AK 99567-5459
(907) 746-7300
(907) 746-7302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1054
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT1054
—
AK
Enumeration date
07/04/2006
Last updated
07/08/2007
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