Individual
CHARLITA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HOLLY HALL ST, HOUSTON, TX 77054-4032
(713) 799-9031
Mailing address
20727 FERNWICK VILLAGE DR, CYPRESS, TX 77433-1745
(219) 545-8119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212295
IN
Other
Enumeration date
05/04/2020
Last updated
05/04/2020
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