Individual
MISS TIFFANY RAE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3550 AIRPORT WAY, SUITE 4, FAIRBANKS, AK 99709-4760
(907) 374-4911
(907) 374-4934
Mailing address
3550 AIRPORT WAY, SUITE 4, FAIRBANKS, AK 99709-4760
(907) 374-4911
(907) 374-4934
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2114
AK
Other
Enumeration date
10/26/2009
Last updated
10/26/2009
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