MR. Timothy Scott Zickus, M.P.T.

NPI #1609920818 in Swansea, Illinois

Provider Information

NPI Number: 1609920818
Entity Type: Individual
Name: MR. Timothy Scott Zickus, M.P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T.
Enumeration Date: Jan 23, 2007
Last Updated: May 4, 2011

Practice Location

Address: 221 W POINTE DR
Address 2: SUITE 1
City: Swansea
State: Illinois
ZIP Code: 62226-8306
Phone: (314) 603-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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