| 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 |