# DR LILY THERAPY OFFICE & ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TheraCare-AllTimeCare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104304500
- **Authorized official:** MS. MICHELLE DEPPE ERGONOMIST/ ATHLETE (ASSIST MANAGER)
- **Authorized official phone:** (310) 909-6031

## Contact information

- **Practice address:** 14611 CARMENITA RD, NORWALK, CA 90650
- **Practice address phone:** (562) 600-0138
- **Practice address fax:** (888) 308-0138
- **Mailing address:** 14611 CARMENITA RD, NORWALK, CA 90650-5228
- **Mailing address phone:** (562) 600-0138
- **Mailing address fax:** (888) 308-0138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT015368 | CA | — |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | — |
| 224Y00000X | Clinical Exercise Physiologist | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/30/2018
- **Last updated:** 08/03/2021