Angela Marie Gililland PTA

NPI 1710255518 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1710255518
Gender Female
Enumeration Date 12/07/2011
Last Updated 12/07/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
519 REVIS ST
BENTON AR, 72015-4648, US
Phone (479) 495-0651
Fax (479) 495-2622
Business Location
519 REVIS ST
BENTON AR, 72015-4648, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Arkansas
License Number PTA2362
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According to our database, Miss Angela Marie Gililland PTA NPI is 1710255518, taxonomy code is 225200000X and license number is PTA2362, license state is located at Arkansas. Angela Marie Gililland PTA physically located at 519 Revis St, Benton AR, 72015-4648. NPI Number Angela Marie Gililland PTA has the Individual type.

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1710255518 NPI number is provided on an as is basis without warranty of any kind. 1710255518 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Marie Gililland PTA are for informational purposes only.