Kyle Tanzillo, MOT, OTR/L

NPI #1528421187 in Northlake, Illinois

Provider Information

NPI Number: 1528421187
Entity Type: Individual
Name: Kyle Tanzillo, MOT, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOT, OTR/L
Enumeration Date: Mar 31, 2016
Last Updated: Mar 31, 2016

Practice Location

Address: 401 W LAKE ST
City: Northlake
State: Illinois
ZIP Code: 60164-2435
Phone: (708) 365-9251

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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