Individual
MR. PATRICK PETER LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Mailing address
3608 LEATHERTOP DR, PLANO, TX 75075-1546
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
169370
TX
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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