Individual
TERI JO TIMONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
(715) 394-5098
Mailing address
PO BOX 673, 4746 TOWER ROAD, MOOSE LAKE, MN 55767-0673
(715) 394-5591
(715) 394-5098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4307-19
WI
225200000X
Physical Therapy Assistant
A3073
MN
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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