IndividualActive
Timothy Nolan, OTR/L
NPI 1609415587 · Gerontology Occupational Therapist · Des Plaines, IL
Provider details
- NPI number
- 1609415587
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 056.00416 (IL)
Mailing address
160 Orchards Pass
Bartlett, IL 60103-4644
Registry dates
- Enumerated
- 2019-12-24
- Last updated
- 2019-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.