WADE MARTIN TILLOTSON

SAN LUIS OBISPO, CA
NPI1255801239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: CA  33508)
Enumeration Date2018-12-03
Last Update Date2018-12-03
Business Address
MR. WADE MARTIN TILLOTSON PT
1422 MONTEREY ST STE C102
SAN LUIS OBISPO, CA 93401-2954
Phone number: 805-543-5100
Mailing Address
MR. WADE MARTIN TILLOTSON PT
1422 MONTEREY ST STE C102
SAN LUIS OBISPO, CA 93401-2954
Phone number: 805-543-5100