WILSON MALIT, OTR/L

Contractor

Active Individual
NPI: 1154663045

Practice Address

555 W CARPENTER ST
Springfield, IL 62702

Phone: (217) 525-1880

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 056003593 (IL)

Frequently Asked Questions

NPI 1154663045 is the National Provider Identifier for WILSON MALIT, OTR/L, a Contractor provider located in Springfield, IL. This NPI was enumerated on March 19, 2013.
WILSON MALIT, OTR/L practices at 555 W CARPENTER ST, Springfield, IL 62702.

Quick Facts

NPI
1154663045
Type
Individual
Enumerated
Mar 19, 2013
Last Updated
Mar 19, 2013

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