Individual
STEVEN R. TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
10879 CLEMSON BLVD, SENECA, SC 29678-1303
(864) 482-0085
(864) 482-0072
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2816
NC
225100000X
Physical Therapist
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2816
NC PT LICENSE NUMBER
NC
Enumeration date
07/22/2009
Last updated
12/18/2024
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