James Randolph Tilton

NPI #1952326753 in Ithaca, Michigan

Provider Information

NPI Number: 1952326753
Entity Type: Organization
Organization Name: James Randolph Tilton
Primary Specialty: Physical Therapist
Enumeration Date: Jul 13, 2006
Last Updated: Jun 2, 2014

Practice Location

Address: 203 DILTS RD
City: Ithaca
State: Michigan
ZIP Code: 48847-9475
Phone: (989) 875-2266

Authorized Official

Name: MR. JAMES RANDOLPH TILTON JR., P.T.
Title: PHYSICAL THERAPIST, OWNER
Phone: (989) 875-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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