Tillman, Demitris Marlena

Tillman, Demitris Marlena is an sole proprietor health care provider with primary practice located at 576 Jefferson Ave , Fort Eustis VA 23604-1602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Tillman, Demitris Marlena can be contacted via phone (757) 314-7666.

Contact Information

Primary practice address
576 Jefferson Ave Fort Eustis VA 23604-1602
Phone: (757) 314-7666
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1588827554
LBN Legal business name Tillman, Demitris Marlena
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2008
Last updated Jul 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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