NPI 1083817324
Bert Lillard, PT
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
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.