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Individual

TIMOTHY PATRICK CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA/L

Contact information

Practice address
1013 S BRYAN RD, MISSION, TX 78572-6608
(956) 580-2100
Mailing address
1013 S BRYAN RD, MISSION, TX 78572-6608
(956) 580-2100

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210205
TX

Other

Enumeration date
08/30/2018
Last updated
08/30/2018
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