Individual provider · Type 1 NPI
Dennis Wayne Dillard, C.PED., CTO
Orthotic Fitter · Peoria, IL
NPI number
1275667115
Active
Practice location
741 W Main St
Peoria, IL 61606-2017
Mailing address
10823 W Smithville Rd
Hanna City, IL 61536-9711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthotic Fitter Primary | 225000000X | 212-000127 (IL) |
Orthotic Fitter: An individual trained in the management of fitting prefabricated orthoses.
About NPI 1275667115
Dennis Wayne Dillard, C.PED., CTO's National Provider Identifier is 1275667115, issued on Mar 15, 2007. The primary taxonomy on file is Orthotic Fitter (225000000X), and the practice location is in Peoria, IL. The record was last updated on Nov 9, 2012.