Individual
KANDANCE HILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2760 N GRANDVIEW AVE STE A, ODESSA, TX 79762-6953
(432) 552-7034
(432) 552-7165
Mailing address
2760 N GRANDVIEW AVE STE A, ODESSA, TX 79762-6953
(432) 552-7034
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2156622
TX
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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