Whalio Doctors

NPI 1003277757

Michael G Todd, COTAL

Practitioner Occupational Therapy Assistant Kankakee, IL

Practice location

Address
1601 Butterfield Trl, Kankakee, IL 60901-2959
Phone
(815) 936-6500

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057004150 (IL)

Registry record

NPI
1003277757
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Mar 2016
Record last updated
9 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.