Individual
HEATHER LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2205 CENTURY CIR, IRVING, TX 75062-4903
(972) 600-8243
Mailing address
3605 CAMBRIDGE DR, MIDLOTHIAN, TX 76065-1399
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209616
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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