MR. Timothy Clarence Icard, DPT

NPI #1548611502 in Black Mountain, North Carolina

Provider Information

NPI Number: 1548611502
Entity Type: Individual
Name: MR. Timothy Clarence Icard, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 30, 2016
Last Updated: Sep 26, 2023

Practice Location

Address: 15 JANE JACOBS RD
Address 2: SUITE 202
City: Black Mountain
State: North Carolina
ZIP Code: 28711-6306
Phone: (828) 669-8643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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