Individual
MR. TIMOTHY SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1216 W.MAIN STREET, SUITE A, LEXINGTON, SC 29072
(803) 996-4761
Mailing address
1216 W.MAIN STREET, SUITE A, LEXINGTON, SC 29072
(803) 996-4761
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2307
SC
Other
Enumeration date
07/11/2006
Last updated
09/10/2012
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