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1255649943
TIMOTHY JAMES ALTERS
GREENDALE, WI
NPI
1255649943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 4770-027)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
Mr. TIMOTHY JAMES ALTERS COTA
5404 W LOOMIS RD
GREENDALE, WI 53129-1411
Phone number: 414-421-0088
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Mailing Address
Mr. TIMOTHY JAMES ALTERS COTA
616 W THOMAS RD
WALES, WI 53183-9758
Phone number: 262-968-3338
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