JOSEPH MICHAEL HOUSTON

SPRINGFIELD, IL
NPI1508905084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.000523)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Mr. JOSEPH MICHAEL HOUSTON COTAL
701 N 1ST ST
SPRINGFIELD, IL 62781-0001
Phone number: 217-788-3300
Mailing Address
Mr. JOSEPH MICHAEL HOUSTON COTAL
6301 N WALNUT STREET RD
SPRINGFIELD, IL 62707-7635
Phone number: 217-487-7183