Individual
MR. DANIEL ELTON TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
580 FOXTAIL DR APT 208, PEWAUKEE, WI 53072-2495
(262) 490-1772
Mailing address
580 FOXTAIL DR APT 208, PEWAUKEE, WI 53072-2495
(262) 490-1772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1793-19
WI
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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