Individual
CHRISTOPHER DALE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 590-2110
(903) 590-2113
Mailing address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 590-2110
(903) 590-2113
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1140648
TX
Other
Enumeration date
10/03/2006
Last updated
07/28/2008
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