Individual
BRIAN LOUIS LILHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
235 SINGLETON RIDGE RD STE 102, CONWAY, SC 29526-9136
(843) 353-3460
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12815
SC
225100000X
Physical Therapist
PT-2024-0333
NM
Other
Enumeration date
07/22/2024
Last updated
04/22/2025
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