Individual
TIMOTHY PAUL MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
446 MOUNT HOLLY AVE, LOUISVILLE, KY 40206-2125
(502) 897-1646
Mailing address
3313 ALLISON WAY, LOUISVILLE, KY 40220-1905
(502) 338-7564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007179
KY
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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