Andrew Tillson

NPI #1154703411 in Glenpool, Oklahoma

Provider Information

NPI Number: 1154703411
Entity Type: Individual
Name: Andrew Tillson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 1700 E 141ST ST
City: Glenpool
State: Oklahoma
ZIP Code: 74033-3807
Phone: (918) 291-4230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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