Most Relevant Information
Provider Data
| NPI Number: | 1003444654 |
| Provider Name: | TRENTON PETER TIMMER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5202007565 |
Most Important Dates
| Enumeration Date: | 03/30/2020 |
| Last Updated: | 05/03/2021 |
Provider Practice Location
1985 TATE BLVD SE STE 600
HICKORY
NC
286021433
Practice Location Phone/Fax
| Phone: | 8283285500 |
| Fax: |
Provider Mailing Location
1449 S CHURCH ST APT 536
CHARLOTTE
NC
282036428
Provider Mailing Phone/Fax
| Phone: | 6162936976 |
| Fax: |