Doctor Name: | MR. TIMOTHY B DUBLE |
NPI Number: | 1063401479 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT-09661 |
Business Practice Address: | 1230 N Meridian Rd Suite B Youngstown, OH - 445091019 |
Business Phone Number: | 3307939500 |
Business Fax Number: | 3307939512 |
Mailing Address: | 320 E Market St, WARREN |
State: | OH |
Postal Code: | 444811206 |
Phone Number: | 3303992221 |
Fax Number: | 3303940122 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-09661 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |