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Timothy Guard, PTA
NPI 1336381300 · on the registry since 2009 · sole proprietor
Practice
- Address
- 139 Cherry Hill Dr
Mount Carmel, IL 62863 - Phone
- (217) 714-6033
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois