MR. Timothy John Mulvihill JR., A.T.,C.

NPI #1962628768 in Edgewater, Maryland

Provider Information

NPI Number: 1962628768
Entity Type: Individual
Name: MR. Timothy John Mulvihill JR., A.T.,C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: A.T.,C.
Enumeration Date: Apr 18, 2007
Last Updated: Jul 17, 2007

Practice Location

Address: 319 LINDEN AVE
City: Edgewater
State: Maryland
ZIP Code: 21037-4814
Phone: (703) 622-9032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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