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1295115103
TIMOTHY JOHNSON
ORLAND PARK, IL
NPI
1295115103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IL 057.004245)
Enumeration Date
2015-06-05
Last Update Date
2015-06-05
Business Address
Mr. TIMOTHY JOHNSON
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-326-1550
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Mailing Address
Mr. TIMOTHY JOHNSON
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number:
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