Individual
BRYAN FILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON STREET, RAHC-DEPT OF REHAB, FORT SILL, OK 73503
(580) 558-8692
Mailing address
4301 WILSON STREET, RAHC-DEPARTMENT OF REHABILITATION, FORT SILL, OK 73503
(580) 558-8692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1241259
TX
Other
Enumeration date
10/16/2013
Last updated
03/04/2025
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