Demitris Marlena Tillman in Fort Eustis - Physical Therapy Assistant
Demitris Marlena Tillman - NPI 1588827554
Demitris Marlena Tillman is a Physical Therapy Assistant in Fort Eustis, Virginia. Demitris Marlena Tillman practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Demitris Marlena Tillman is 1588827554. The last update date is 2008-07-09.
Demitris Marlena Tillman's current location address is 576 Jefferson Ave, Fort Eustis, Virginia. You can contact this provider via phone number 7573147666. The mailing address for Demitris Marlena Tillman is 576 Jefferson Ave, Fort Eustis, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Demitris Marlena Tillman |
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Address | 576 Jefferson Ave, Fort Eustis, Virginia |
Phone Number | 7573147666 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PTA |
NPI Number Detail
NPI Number | 1588827554 |
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Provider Enumeration Date | 2008-07-09 |
Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
Address | 576 Jefferson Ave |
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City | Fort Eustis |
State | Virginia (VA) |
Post Code | 236041602 |
Phone Number | 7573147666 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapy Assistant |
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Taxonomy | 225200000X |
Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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What is the unique identifier code issued to Demitris Marlena Tillman by the Centers for Medicare & Medicaid Services (CMS)?
The Demitris Marlena Tillman has been assigned the NPI (National Provider Identifier) 1588827554. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Demitris Marlena Tillman's physical address?
The Demitris Marlena Tillman is physically located at 576 Jefferson Ave, in the city of Fort Eustis, VA, with the postal code 236041602.
What is Demitris Marlena Tillman's area of expertise and its corresponding taxonomy classification?
The Demitris Marlena Tillman's field of specialization is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their areas of practice.
When was the Demitris Marlena Tillman's 1588827554 issued?
The Demitris Marlena Tillman's 1588827554 was issued on 2008-07-09.
As of what date was the information regarding Demitris Marlena Tillman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Demitris Marlena Tillman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-09.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA