Timothy Mott, PTA

NPI #1063084812 in Bloomington, Illinois

Provider Information

NPI Number: 1063084812
Entity Type: Individual
Name: Timothy Mott, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 12, 2021
Last Updated: Jul 12, 2021

Practice Location

Address: 1402 LESLIE DR
City: Bloomington
State: Illinois
ZIP Code: 61704-5405
Phone: (309) 603-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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