Douglas Lincoln Lilly in Fayetteville - Occupational Therapist

Douglas Lincoln Lilly - NPI 1790963007

Douglas Lincoln Lilly is a Occupational Therapist in Fayetteville, . Douglas Lincoln Lilly practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Douglas Lincoln Lilly is 1790963007. The last update date is 2008-02-08.

Douglas Lincoln Lilly's current location address is 111 Fayette Ave, Fayetteville, . You can contact this provider via phone number 3045741176 and fax number 3045744109. The mailing address for Douglas Lincoln Lilly is 111 Fayette Ave, Fayetteville, . To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Lincoln Lilly
Address 111 Fayette Ave, Fayetteville,
Phone Number 3045741176
Fax Number 3045744109
Sole Proprietor N
Credentials OTR/L

NPI Number Detail

NPI Number 1790963007
Provider Enumeration Date 2008-02-08
Last Updated Date 2008-02-08

Provider Mailing Address Detail

Address 111 Fayette Ave
City Fayetteville
State (WV)
Post Code 258401219
Phone Number 3045741176
Fax Number 3045744109

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 895
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

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FAQs about Douglas Lincoln Lilly

What is the unique identifier code issued to Douglas Lincoln Lilly by the Centers for Medicare & Medicaid Services (CMS)?

The Douglas Lincoln Lilly has been assigned the NPI (National Provider Identifier) 1790963007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Douglas Lincoln Lilly's facilities are situated?

The facilities of Douglas Lincoln Lilly are physically located at the following address: 111 Fayette Ave, Fayetteville, WV, 258401219.

What is Douglas Lincoln Lilly's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Douglas Lincoln Lilly is Occupational Therapist, and the taxonomy code that classifies this field of practice is 225X00000X.

On what date did the Douglas Lincoln Lilly receive the assignment of its 1790963007 from the Centers for Medicare & Medicaid Services?

The Douglas Lincoln Lilly was issued its 1790963007 by the Centers for Medicare & Medicaid Services on 2008-02-08.

As of what date was the information pertaining to Douglas Lincoln Lilly, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Douglas Lincoln Lilly, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-08.

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