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Organization
TILLMAN PHYSICAL THERAPY & SPORTS TRAINING
Active
Organization
TILLMAN PHYSICAL THERAPY & SPORTS TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERLY FAUBION DPT (DPT)
(512) 331-6200
Entity
Organization
Contact information
Practice address
2519 S LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(513) 331-6384
Mailing address
2519 SOUTH LAKELINE BLVD, SUITE 100, CEDAR PARK, TX 78613-2964
(512) 331-6200
(513) 331-6384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3106512
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3106512
PHYSICAL THERAPY LICENSE
TX
Enumeration date
09/30/2008
Last updated
09/30/2008
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