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Individual

TIMOTHY JAMES CONNORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3128 BOXELDER DR, CHEYENNE, WY 82001-5808
(307) 634-7901
Mailing address
152 HAMBURG ST, BUFFALO, NY 14204-2646
(716) 949-3934

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006962
KY
225100000X
Physical Therapist
Primary
040412
NY
225100000X
Physical Therapist
61943
OR

Other

Enumeration date
02/11/2017
Last updated
02/11/2017
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