Individual
MR. TIMOTHY ROY DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6391 ROOSEVELT HIGHWAY, WARM SPRINGS, GA 31830-0268
(706) 655-5636
(706) 655-5661
Mailing address
6135 ROOSEVELT HIGHWAY, WARM SPRINGS, GA 31830
(706) 655-5637
(706) 655-5661
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 002888
GA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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