| Doctor Name: | MR. TIMOTHY LYN BICKFORD |
| NPI Number: | 1134348741 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1075331 |
| Business Practice Address: | 4235 Southwest Blvd San Angelo, TX - 769045635 |
| Business Phone Number: | 3256585681 |
| Business Fax Number: | 3259477121 |
| Mailing Address: | 3325 Silver Spur Dr, SAN ANGELO |
| State: | TX |
| Postal Code: | 769047390 |
| Phone Number: | 3259442253 |
| Fax Number: | |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1075331 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| 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 |