Individual
MR. TIM J CORDIAL
Active
Individual
MR. TIM J CORDIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
257
MT
2251X0800X
Orthopedic Physical Therapist
257
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000344097
—
MT
01
—
000061750
BLUE CROSS
MT
Enumeration date
02/20/2006
Last updated
01/16/2025
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