Individual
TEKA LILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
918 CHURCH ST, HONESDALE, PA 18431-1953
(570) 251-0071
Mailing address
126 SAMSON RD, LAKE ARIEL, PA 18436-4101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
011662-01
NY
224Z00000X
Occupational Therapy Assistant
Primary
OP010553
PA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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