Devan Michelle Tillman, PTA

NPI #1336876432 in Fordyce, Arkansas

Provider Information

NPI Number: 1336876432
Entity Type: Individual
Name: Devan Michelle Tillman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 8, 2022
Last Updated: Aug 8, 2022

Practice Location

Address: 201 N CLIFTON ST
City: Fordyce
State: Arkansas
ZIP Code: 71742-3026
Phone: (870) 352-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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