Individual
MR. TIMOTHY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 OAK LEAF CT, SICKLERVILLE, NJ 08081-5285
(347) 424-5810
Mailing address
1 OAK LEAF CT, SICKLERVILLE, NJ 08081-5285
(347) 424-5810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/28/2023
Last updated
08/28/2023
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