MRS. Andrea Dionne Ille, PT

NPI #1144307372 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1144307372
Entity Type: Individual
Name: MRS. Andrea Dionne Ille, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: PT
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11120 ROCK RIDGE RD
City: Oklahoma City
State: Oklahoma
ZIP Code: 73120-5721
Phone: (405) 752-1272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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