Individual
TIMOTHY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
60 OLD NEW MILFORD RD STE 2A, BROOKFIELD, CT 06804-2434
(203) 775-6205
Mailing address
1952 WHITNEY AVE, HAMDEN, CT 06517-1209
(203) 672-9227
(203) 621-3162
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8939
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008939CT04
BLUECROSS BLUE SHIELD
CT
Enumeration date
11/11/2010
Last updated
12/20/2024
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