Individual
AUNAKAH LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 CLARK ST, LODI, WI 53555-1010
(608) 592-6719
(608) 592-3293
Mailing address
104 HENRY ST, MOUNT HOREB, WI 53572-2129
(715) 416-5157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
246719
WI
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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