Most Relevant Information
Provider Data
| NPI Number: | 1003437815 |
| Provider Name: | CHARLITA TILLMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 212295 |
Most Important Dates
| Enumeration Date: | 05/04/2020 |
| Last Updated: | 05/04/2020 |
Provider Practice Location
2000 HOLLY HALL ST
HOUSTON
TX
770544032
Practice Location Phone/Fax
| Phone: | 7137999031 |
| Fax: |
Provider Mailing Location
20727 FERNWICK VILLAGE DR
CYPRESS
TX
774331745
Provider Mailing Phone/Fax
| Phone: | 2195458119 |
| Fax: |