Individual
MR. BRIAN PAUL LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-6012
(870) 773-9869
Mailing address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR1624
AR
Other
Enumeration date
12/07/2006
Last updated
07/09/2007
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