Individual
LILLIAN F DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8840 CYPRESS WATERS BLVD, SUITE 300, DALLAS, TX 75019
(469) 524-5512
Mailing address
87 ROLLING GREEN DR, STAUNTON, VA 24401-9700
(540) 290-9158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006847
VA
225X00000X
Occupational Therapist
Primary
OT010001371
DC
Other
Enumeration date
09/21/2017
Last updated
03/17/2018
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