Wild, Timothy

Wild, Timothy is an individual health care provider with primary practice located at 16170 Kingsport Rd , Orland Park IL 60467-5602. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as his primary health care specialty. Wild, Timothy can be contacted via phone (708) 349-6544.

Contact Information

Primary practice address
16170 Kingsport Rd Orland Park IL 60467-5602
Phone: (708) 349-6544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X Illinois

Profile Details

NPI number 1861602823
LBN Legal business name Wild, Timothy
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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