NPI 1003277757
Michael G Todd, COTAL
Practice location
- Address
- 1601 Butterfield Trl, Kankakee, IL 60901-2959
- Phone
- (815) 936-6500
Registered specialties
Occupational Therapy Assistant
Primary
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.