Individual
CONNIE LYNN TILLMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1310 W STEWART DR, SUITE 203, ORANGE, CA 92868-3854
(714) 781-3224
Mailing address
1310 W STEWART DR, SUITE 203, ORANGE, CA 92868-3854
(714) 781-3224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2009
Last updated
03/26/2009
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