Individual
ALLISON LILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1003 12TH ST, JOHN UMSTEAD HOSPITAL, CPI, BUTNER, NC 27509-1626
(919) 575-7929
Mailing address
218 WOOD VALLEY CT, DURHAM, NC 27713-7102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5066
NC
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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