Individual
TIMOTHY OBERLIN BRINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2492
OR
225100000X
Physical Therapist
PT00007395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119854
—
OR
01
—
650014012
RR MEDICARE
OR
Enumeration date
11/28/2005
Last updated
12/14/2015
Update your record
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