David Bradley Tilley

NPI #1407406150 in Keller, Texas

Provider Information

NPI Number: 1407406150
Entity Type: Individual
Name: David Bradley Tilley
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 15, 2019
Last Updated: Sep 15, 2019

Practice Location

Address: 200 COUNTRY BROOK DR APT 2110
City: Keller
State: Texas
ZIP Code: 76248-2135
Phone: (817) 337-3082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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