MRS. Demitris Marlena Tillman, PTA
NPI #1588827554 in Fort Eustis, Virginia
Provider Information
- NPI Number
- 1588827554
- Entity Type
- Individual
- Name
- MRS. Demitris Marlena Tillman, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 9, 2008
- Last Updated
- Jul 9, 2008
Practice Location
- Address
- 576 JEFFERSON AVE
- City
- Fort Eustis
- State
- Virginia
- ZIP Code
- 23604-1602
- Phone
- (757) 314-7666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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