Individual
MR. TIMOTHY MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC,PTA
Contact information
Practice address
382 W CHESTNUT ST, WASHINGTON, PA 15301-4642
(724) 228-2911
(724) 228-7339
Mailing address
PO BOX 187, RICHEYVILLE, PA 15358-0187
(724) 632-2095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE008371
PA
2255A2300X
Athletic Trainer
Primary
RT001045A
PA
Other
Enumeration date
10/18/2005
Last updated
01/30/2010
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