Individual
MR. TIMOTHY J GUARD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
139 CHERRY HILL DR, MOUNT CARMEL, IL 62863-2838
(217) 714-6033
Mailing address
139 CHERRY HILL DR, MOUNT CARMEL, IL 62863-2838
(217) 714-6033
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.002456
IL
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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