Timothy Michael Block ATC, PTA

NPI 1265640353 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1265640353
Gender Male
Enumeration Date 05/20/2007
Last Updated 12/01/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
3385 DEXTER CT
SUITE 301
DAVENPORT IA, 52807-3471, US
Phone (563) 344-6645
Fax (563) 441-7796
Business Location
5 PARK LANE CT
ELDRIDGE IA, 52748-9676, US
Phone (563) 249-0162
Fax (563) 441-7796
Toxanomy
Taxonomy Code 225200000X
License State Iowa
License Number 004964
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According to our database, Mr. Timothy Michael Block ATC, PTA NPI is 1265640353, taxonomy code is 225200000X and license number is 004964, license state is located at Iowa. Timothy Michael Block ATC, PTA physically located at 3385 Dexter Ct, Davenport IA, 52807-3471. NPI Number Timothy Michael Block ATC, PTA has the Individual type.

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1265640353 NPI number is provided on an as is basis without warranty of any kind. 1265640353 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Michael Block ATC, PTA are for informational purposes only.