Provider Demographics
NPI:1881029551
Name:HAPPEL, TIM J (ATC)
Entity Type:Individual
Prefix:
First Name:TIM
Middle Name:J
Last Name:HAPPEL
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:20410 CENTURY BLVD
Mailing Address - Street 2:MEDSTAR NRH REHAB NETWORK - #215
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1186
Mailing Address - Country:US
Mailing Address - Phone:301-540-6140
Mailing Address - Fax:301-540-5190
Practice Address - Street 1:20410 CENTURY BLVD
Practice Address - Street 2:MEDSTAR NRH REHAB NETWORK - #215
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1186
Practice Address - Country:US
Practice Address - Phone:301-540-6140
Practice Address - Fax:301-540-5190
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
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Provider Licenses
StateLicense IDTaxonomies
MDA00002932255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer