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TIMOTHY GAMBLE

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1861902397
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
94220 4TH ST, GOLD BEACH, OR, 974447756
Phone
(541) 247-3000

Specialties & Taxonomies

Physical Therapy Assistant License: OR #09542
Physical Therapy Assistant Primary License: ID #3291

All Addresses

MAILING

401 CRESTVIEW DR

NAMPA, ID, 836868896

LOCATION

94220 4TH ST

GOLD BEACH, OR, 974447756

(541) 247-3000