Mott, Timothy

Mott, Timothy is an individual health care provider with primary practice located at 1402 Leslie Dr , Bloomington IL 61704-5405. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Mott, Timothy can be contacted via phone (309) 603-2500.

Contact Information

Primary practice address
1402 Leslie Dr Bloomington IL 61704-5405
Phone: (309) 603-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160009271 Illinois

Profile Details

NPI number 1063084812
LBN Legal business name Mott, Timothy
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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