Individual
TIMOTHY TYGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18142 66TH CT, APT 201, TINLEY PARK, IL 60477-6408
(708) 790-0368
Mailing address
18142 66TH CT, APT 201, TINLEY PARK, IL 60477-6408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.005348
IL
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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