TIMOTHY MOTT

BLOOMINGTON, IL
NPI1063084812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160009271)
Enumeration Date2021-07-12
Last Update Date2021-07-12
Business Address
TIMOTHY MOTT PTA
1402 LESLIE DR
BLOOMINGTON, IL 61704-5405
Phone number: 309-603-2500
Mailing Address
TIMOTHY MOTT PTA
713 BUNN ST
BLOOMINGTON, IL 61701-5466
Phone number: 309-287-9926