Individual
DR. TIMOTHY LEWIS BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
636 COUNTY ROAD 852, FORT PAYNE, AL 35967-5739
(256) 572-2522
Mailing address
636 COUNTY ROAD 852, FORT PAYNE, AL 35967-5739
(256) 572-2522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6268
AL
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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