Timothy James Alters COTA

NPI 1255649943 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1255649943
Gender Male
Enumeration Date 09/16/2010
Last Updated 09/16/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5404 W LOOMIS RD
GREENDALE WI, 53129-1411, US
Phone (414) 421-0088
Fax
Business Location
616 W THOMAS RD
WALES WI, 53183-9758, US
Phone (262) 968-3338
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 4770-027
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According to our database, Mr. Timothy James Alters COTA NPI is 1255649943, taxonomy code is 224Z00000X and license number is 4770-027, license state is located at Wisconsin. Timothy James Alters COTA physically located at 5404 W Loomis Rd, Greendale WI, 53129-1411. NPI Number Timothy James Alters COTA has the Individual type.

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1255649943 NPI number is provided on an as is basis without warranty of any kind. 1255649943 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy James Alters COTA are for informational purposes only.