Organization
LILES THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PAUL LILES OTR (OWNER)
(903) 276-6012
Entity
Organization
Contact information
Practice address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-6012
(870) 773-9869
Mailing address
1417 ROLLING RIDGE CIR, TEXARKANA, AR 71854-9036
(903) 276-6012
(870) 773-9869
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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