Whalio Doctors

NPI 1083817324

Bert Lillard, PT

Practitioner Physical Therapist Van Buren, AR

Practice location

Address
521 Main St, Van Buren, AR 72956-5109
Phone
(479) 410-1740
Mailing address
3002 N Witte St, Poteau, OK 74953-5621

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 1951 (OK)

Registry record

NPI
1083817324
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.