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Individual

TIMOTHY J WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
6017A FASHION POINT DR, SOUTH OGDEN, UT 84403-4851
(801) 317-1618
(801) 459-3707
Mailing address
6017A FASHION POINT DR, SOUTH OGDEN, UT 84403-4851
(801) 317-1618
(801) 459-3707

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7420114-2401
UT

Other

Enumeration date
09/30/2009
Last updated
05/13/2019
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