Individual
MR. RAYMOND A TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1643 LANCASTER DR, SUITE 100, GRAPEVINE, TX 76051-3593
(817) 329-2524
(817) 329-2685
Mailing address
1643 LANCASTER DR, SUITE 100, GRAPEVINE, TX 76051-3593
(817) 329-2524
(817) 329-2685
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1034007
TX
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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