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Roderick Timoteo

Physical Therapist in Homosassa, FL. Individual provider (NPI-1).

NPI number1952881146
StatusActive
Last updated in NPPESAug 16, 2018

Details

NPI
1952881146
Entity type
Individual (NPI-1)
Name
Roderick Timoteo
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2018
Last updated
Aug 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1226500TXYes

Practice location

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Phone 403-348-9919

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Phone 403-348-9919

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