Individual
ZACHARY DANIEL TILLOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CFY-SLP
Contact information
Practice address
5652 S 23RD ST, MILWAUKEE, WI 53221-4208
(513) 833-7756
Mailing address
5652 S 23RD ST, MILWAUKEE, WI 53221-4208
(513) 833-7756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4149
WI
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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