Individual
MRS. LILLIAN MARIE MCNULTYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4533 PARK AVE, PARKHAVEN HOME, ASHTABULA, OH 44004-6930
(888) 796-3789
Mailing address
950 MILLRIDGE RD, HIGHLAND HEIGHTS, OH 44143-3114
(440) 995-7300
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
002628
OH
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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