Individual provider · Type 1 NPI

Demitris Marlena Tillman, PTA

Physical Therapy Assistant · Fort Eustis, VA

NPI number 1588827554 Active

Practice location

576 Jefferson Ave
Fort Eustis, VA 23604-1602

Mailing address

70 Shannon Dr
Newport News, VA 23608-3125

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1588827554

Demitris Marlena Tillman, PTA's National Provider Identifier is 1588827554, issued on Jul 9, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Eustis, VA. The record was last updated on Jul 9, 2008.