PROF. Tim Rj Passmore, ED.D., CTRS
NPI #1093840589 in Stillwater, Oklahoma
Provider Information
- NPI Number
- 1093840589
- Entity Type
- Individual
- Name
- PROF. Tim Rj Passmore, ED.D., CTRS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Credential
- ED.D., CTRS
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Apr 13, 2010
Practice Location
- Address
- 3124 W 24TH AVE
- City
- Stillwater
- State
- Oklahoma
- ZIP Code
- 74074-2101
- Phone
- (405) 744-1811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Recreation Therapist |
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