Timothy William Scanlon, PT, DPT, CSCS Valid NPI

Individual provider · Physical Therapist · Kingman, AZ

NPI

1619611076

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

LPT-31500 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2022-04-22

Last updated

2022-05-02