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Contact Information

BRYAN FILLMORE
4301 WILSON STREET
RAHC-DEPT OF REHAB
FORT SILL, OK73503
 Phone: 580-558-8692
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BRYAN FILLMORE · (Male)

NPI Number 1083042790
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2013
Last updated 03/04/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TX License # 1241259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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