NPI 1710255518
Angela Marie Gililland, PTA
Practice location
- Address
- 519 Revis St, Benton, AR 72015-4648
- Phone
- (479) 495-0651
- Fax
- (479) 495-2622
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1710255518
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Dec 2011
- Record last updated
- 7 Dec 2011
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.