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John Tilley, OTR L
NPI 1083770655 · on the registry since 2006 · sole proprietor
Practice
- Address
- 801 Bolling Cv
Lawrenceville, GA 30045 - Phone
- (678) 442-8109
- Fax
- (678) 442-5995
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia