Individual
DEVAN MICHELLE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-6301
(870) 352-6483
Mailing address
201 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-6301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3795
AR
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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