Individual
MR. JOSEPH MICHAEL HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTAL
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3300
(217) 788-5546
Mailing address
6301 N WALNUT STREET RD, SPRINGFIELD, IL 62707-7635
(217) 487-7183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
IL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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