Individual
ROBERT C TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
13100 CHENAL PKWY, LITTLE ROCK, AR 72211-5214
(501) 975-4040
(501) 875-4043
Mailing address
13100 CHENAL PKWY, LITTLE ROCK, AR 72211-5214
(501) 975-4040
(501) 875-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T732
BLUE CROSS BLUE SHIELD
AR
01
—
P00084861
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
10/15/2007
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