MR. Timothy J Guard II, PTA

NPI #1336381300 in Mount Carmel, Illinois

Provider Information

NPI Number: 1336381300
Entity Type: Individual
Name: MR. Timothy J Guard II, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 139 CHERRY HILL DR
City: Mount Carmel
State: Illinois
ZIP Code: 62863-2838
Phone: (217) 714-6033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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