Individual
BRYCE CORLEY LILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2690 VIA DE LA VALLE STE D160, DEL MAR, CA 92014-1991
(858) 290-0855
Mailing address
13618 CALDERON RD, SAN DIEGO, CA 92129-4414
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
308461
CA
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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