Individual
SHAWNNA MARIE TIMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-4564
(330) 298-4530
Mailing address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-4564
(330) 298-4530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA. 08891
OH
225200000X
Physical Therapy Assistant
TE009892
PA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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