NPI 1144307372

Andrea Dionne Ille, PT

Practitioner Contractor Oklahoma City, OK

Practice location

Address: 11120 Rock Ridge Rd, Oklahoma City, OK 73120-5721
Phone: (405) 752-1272

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 1513 (OK)

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Registry record

NPI: 1144307372
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2006
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.