DR. Timothy M Theriault, PT

NPI #1336343490 in Addison, Texas

Provider Information

NPI Number: 1336343490
Entity Type: Individual
Name: DR. Timothy M Theriault, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 13, 2007
Last Updated: May 14, 2022

Practice Location

Address: 17051 DALLAS PKWY STE 430
City: Addison
State: Texas
ZIP Code: 75001-7111
Phone: (469) 248-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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