Individual
TIMOTHY ROBERT MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(570) 724-5270
(570) 724-5276
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(570) 724-5270
(570) 724-5276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007741L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40585200
—
WI
Enumeration date
09/07/2007
Last updated
09/07/2007
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