Individual
TIMOTHY JAMES SHUTES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
901 45TH ST, MANGONIA PARK, FL 33407-2413
(561) 844-7878
Mailing address
10393 SE COCONUT LN, HOBE SOUND, FL 33455-4215
(561) 827-2863
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT3592
FL
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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