Individual
LAURA L TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
196 E CENTER STREET SUITE 4, BLANDING, UT 84511-3620
(336) 692-0155
Mailing address
293 W 100 NORTH, BLANDING, UT 84511-3620
(336) 692-0155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11072404-2401
UT
225100000X
Physical Therapist
9376
NC
Other
Enumeration date
03/06/2007
Last updated
01/18/2019
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