Individual
MR. MICHAEL DANIEL SIMPSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9219 S PEORIA ST, CHICAGO, IL 60620-2726
(773) 457-3265
Mailing address
9219 S PEORIA ST, CHICAGO, IL 60620-2726
(773) 457-3265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001494
IL
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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