Organization
ELITE THERAPY AND WELLNESS
Active
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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