Individual
MR. CHRISTOPHER MICHAEL DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
(910) 457-9583
Mailing address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
(910) 457-9583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4240
NC
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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