TIMOTHY WILD

ORLAND PARK, IL
NPI1861602823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057001263)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- TIMOTHY WILD COTA
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-349-6544
Mailing Address
-- TIMOTHY WILD COTA
3818 N PARK ST
WESTMONT, IL 60559-1004
Phone number: 708-349-6544
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