Individual
TIMOTHY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
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
Update your record
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