Timothy Ward Tourville, MED, ATC, CSCS

NPI #1578556981 in Burlington, Vermont

Provider Information

NPI Number: 1578556981
Entity Type: Individual
Name: Timothy Ward Tourville, MED, ATC, CSCS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: MED, ATC, CSCS
Enumeration Date: Aug 31, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 95 CARRIGAN DR
Address 2: STAFFORD HALL 4 MCCLURE MUSCULOSKELETAL RESEARCH CENTER
City: Burlington
State: Vermont
ZIP Code: 05405-1746
Phone: (802) 656-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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