Individual
JANNELL A TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7057 N CLIO RD, MOUNT MORRIS, MI 48458-8261
(810) 564-2555
(810) 564-2560
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2007
(810) 743-1099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004849
MI
Other
Enumeration date
05/01/2007
Last updated
09/27/2007
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