NPI 1407328545

Timothy Reitz, COTA

Practitioner Occupational Therapy Assistant Belleville, IL

Practice location

Address: 4500 Memorial Dr, Belleville, IL 62226-5399
Phone: (618) 257-5758

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057004715 (IL)

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Registry record

NPI: 1407328545
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2018
Record last updated: 31 Dec 2018

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.