Individual
ELIZABETH LILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
3706 S 203RD PLZ, OMAHA, NE 68130-6400
(402) 290-9619
Mailing address
3706 S 203RD PLZ, OMAHA, NE 68130-6400
(402) 290-9619
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1094
NE
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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