Bert Lillard PT

NPI 1083817324 - Physical Therapist - 225100000X

NPI Details
NPI 1083817324
Gender Male
Enumeration Date 06/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
521 MAIN ST
VAN BUREN AR, 72956-5109, US
Phone (479) 410-1740
Fax
Business Location
3002 N WITTE ST
POTEAU OK, 74953-5621, US
Phone (479) 647-7877
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oklahoma
License Number 1951
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According to our database, Bert Lillard PT NPI is 1083817324, taxonomy code is 225100000X and license number is 1951, license state is located at Oklahoma. Bert Lillard PT physically located at 521 Main St, Van Buren AR, 72956-5109. NPI Number Bert Lillard PT has the Individual type.

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1083817324 NPI number is provided on an as is basis without warranty of any kind. 1083817324 is maintained by the National Plan & Provider Enumeration System. The contents of Bert Lillard PT are for informational purposes only.