Individual provider · NPI-1

Timothy Baldwin, ATC, CFo

Specialist/Technologist, Athletic Trainer · San Francisco, CA

NPI number1730590100
StatusActive
Last updated in NPPESMay 19, 2014

Details

NPI
1730590100
Entity type
Individual (NPI-1)
Name
Timothy Baldwin
Credential
ATC, CFo
Sex
Male
Sole proprietor
Yes
Enumeration date
May 19, 2014
Last updated
May 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2000004621CAYes

Practice location

1500 Owens St
Suite 170
San Francisco, CA 94158-2334

Phone 415-353-7491

Mailing address

1500 Owens St
Suite 170
San Francisco, CA 94158-2334

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