Individual
MR. ANDREW J LILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
615 4TH ST, CLOVIS, CA 93612-1124
(559) 322-5345
(559) 322-5041
Mailing address
2673 BURLINGAME AVE, CLOVIS, CA 93611-6816
(559) 355-8431
(559) 355-8431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26897
CA
2251X0800X
Orthopedic Physical Therapist
PT26897
CA
Other
Enumeration date
03/13/2007
Last updated
08/13/2013
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