MR. Daniel Elton Timm, PTA

NPI #1972874824 in Pewaukee, Wisconsin

Provider Information

NPI Number: 1972874824
Entity Type: Individual
Name: MR. Daniel Elton Timm, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 24, 2012
Last Updated: Jan 24, 2012

Practice Location

Address: 580 FOXTAIL DR APT 208
City: Pewaukee
State: Wisconsin
ZIP Code: 53072-2495
Phone: (262) 490-1772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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