Timothy S Sly P.T.

NPI 1245431055 - Physical Therapist - 225100000X

NPI Details
NPI 1245431055
Gender Male
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
415 JEFFERSON ST N
WADENA MN, 56482-1264, US
Phone (218) 631-7475
Fax (218) 632-8765
Business Location
15642 SHADY ACRES DR
WADENA MN, 56482-3018, US
Phone (218) 631-2025
Fax
Toxanomy
Taxonomy Code 225100000X
License State Minnesota
License Number 4522
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According to our database, Mr. Timothy S Sly P.T. NPI is 1245431055, taxonomy code is 225100000X and license number is 4522, license state is located at Minnesota. Timothy S Sly P.T. physically located at 415 Jefferson St N, Wadena MN, 56482-1264. NPI Number Timothy S Sly P.T. has the Individual type.

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1245431055 NPI number is provided on an as is basis without warranty of any kind. 1245431055 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy S Sly P.T. are for informational purposes only.