IndividualActive
Andrea Ille, PT
NPI 1144307372 · Contractor · Oklahoma City, OK
Provider details
- NPI number
- 1144307372
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1513 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
11120 Rock Ridge Rd
Oklahoma City, OK 73120-5721
Phone: (405) 752-1272
Approximate (ZIP-level) locationGet directions
Mailing address
11120 Rock Ridge Rd
Oklahoma City, OK 73120-5721
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.