Individual
DAVID BRADLEY TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 COUNTRY BROOK DR APT 2110, KELLER, TX 76248-2135
(817) 337-3082
Mailing address
811 CROSS TIMBERS DR, KELLER, TX 76248-3842
(804) 307-0125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2150398
TX
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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