Individual
TIMOTHY DAVID NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
100 N RIVER RD, DES PLAINES, IL 60016-1209
(847) 297-1800
Mailing address
160 ORCHARDS PASS, BARTLETT, IL 60103-4644
(847) 409-1359
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056.00416
IL
225XP0019X
Physical Rehabilitation Occupational Therapist
056.00416
IL
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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