Individual provider · Type 1 NPI

John Martin Tilley, OTR L

Specialist · Lawrenceville, GA

NPI number 1083770655 Active

Practice location

801 Bolling Cv
Lawrenceville, GA 30045-2430

Call (678) 442-8109 Map

Fax (678) 442-5995

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOT002798 (GA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083770655

John Martin Tilley, OTR L's National Provider Identifier is 1083770655, issued on Dec 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 9, 2007.