TRAVIS EUGENE LILLARD

CHEROKEE VILLAGE, AR
NPI1902355522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA1749)
Enumeration Date2016-09-23
Last Update Date2016-09-23
Business Address
Mr. TRAVIS EUGENE LILLARD PTA
31 CHOCTAW CENTER
CHEROKEE VILLAGE, AR 72529
Phone number: 870-856-4325
Mailing Address
Mr. TRAVIS EUGENE LILLARD PTA
134 BLAIR TRL
POCAHONTAS, AR 72455-7920
Phone number: 870-378-3425