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TIMOTHY WAYNE MCDANIEL P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1427068139

Individual Registrant:
 TIMOTHY WAYNE MCDANIEL P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
694 SHARON RD SUITE R KING WILLIAM, VA 23086-3640 US
Tel: 804-769-7504  Fax: 804-769-7524

Contact information for business:
694 SHARON RD SUITE R KING WILLIAM, VA 23086-3640 US
Tel: 804-769-7504  Fax: 804-769-7524

Registration Information:
NPI: 1427068139
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305201811

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
010029686VA05




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