TIMOTHY BIVENS
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1780382978- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 225 WHITE ST, JACKSONVILLE, NC, 285466351
- Phone
- (910) 353-7222
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NC #4174