Individual
MR. TIMOTHY JOHN COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3919 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 234-0491
(864) 234-0493
Mailing address
3919 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 234-0491
(864) 234-0493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16201
MA
2251X0800X
Orthopedic Physical Therapist
Primary
5959
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68150
BCBS
MA
Enumeration date
11/16/2006
Last updated
10/13/2011
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