Individual
BRIAN JASON HILLIARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(580) 351-6511
Mailing address
2051 NW MCINTOSH RD, ELGIN, OK 73538-2547
(508) 574-8241
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1409
OK
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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