Organization
ELITE THERAPY AND WELLNESS
Active
Other names
Holli Lillard
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLI DAWN LILLARD (OWNER)
(870) 869-7220
Entity
Organization
Contact information
Practice address
5552 US HWY 63, SUITE B, IMBODEN, AR 72434
(870) 869-2770
(870) 869-7221
Mailing address
PO BOX 334, IMBODEN, AR 72434-0334
(870) 869-2770
(870) 869-7221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2712
AR
261QP2000X
Physical Therapy Clinic/Center
Primary
PT2712
AR
Other
Enumeration date
01/29/2018
Last updated
05/12/2021
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