Individual
JULIE L TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1502 W 4TH ST, ONTARIO, OH 44906-1838
(419) 491-7150
(419) 745-8819
Mailing address
12611 ECKEL JUNCTION RD, SUITE 1H, PERRYSBURG, OH 43551-1304
(419) 491-7150
(419) 745-8819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012977
OH
225100000X
Physical Therapist
PT25637
CA
2251X0800X
Orthopedic Physical Therapist
PT25637
CA
Other
Enumeration date
03/16/2007
Last updated
11/16/2011
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