NPI | 1376579797 |
---|---|
Former Legal Business Name | TILLMAN PHYSICAL THERAPY & SPORTS TRAINING CENTER, INC |
Entity Type | Organization |
Authorized Contact | MICHAEL RAY TILLMAN Phyical Therapist President 512-331-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 644350000) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: TX 554280000) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2011-03-17 |