TIMOTHY A EBBERT — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, IN)
TIMOTHY A EBBERT — Medicare Enrolled Provider (PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE, IN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: TIMOTHY A EBBERT; Type: Individual; NPI: 1003089350.
| Name | TIMOTHY A EBBERT |
|---|---|
| Type | Individual |
| NPI | 1003089350 |
| Provider type | PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE |
| State | IN |
| Enrollment ID | I20080505000569 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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