Alli Willis

NPI #1558182758 in Ardmore, Oklahoma

Provider Information

NPI Number: 1558182758
Entity Type: Individual
Name: Alli Willis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 21, 2024
Last Updated: Oct 21, 2024

Practice Location

Address: 1107 W BROADWAY ST
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2833
Phone: (580) 226-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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