Individual
MR. TIMOTHY JAMES ALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 421-0088
Mailing address
616 W THOMAS RD, WALES, WI 53183-9758
(262) 968-3338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4770-027
WI
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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