Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 929 | NY |
NPI | 1932269164 |
---|---|
Provider Name | Dr. Timothy A Werner |
First Address | Pembroke Pines, FL 33024-3023 |
Second Address | Pembroke Pines, FL 33024-3023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |