Individual
BILLY J WILMOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3605 COLLEGE AVE, CONWAY, AR 72034-7377
(501) 327-2235
(501) 327-1601
Mailing address
2100 W MAIN ST, RUSSELLVILLE, AR 72801-2758
(479) 968-2525
(479) 968-2538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4689
AR
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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