Individual
LEVI ROLAND TIMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11623 ARBOR STREET, OMAHA, NE 68144
(402) 590-5831
Mailing address
1161 W SUMMIT ST, WINTERSET, IA 50273
(308) 293-5247
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004959
IA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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