Charles O Tillman III, PT

NPI #1336124809 in Pawnee, Oklahoma

Provider Information

NPI Number
1336124809
Entity Type
Individual
Name
Charles O Tillman III, PT
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Dec 7, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1201 HERITAGE CIR
City
Pawnee
ZIP Code
74058-3744
Phone
(918) 762-6653

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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