Individual
LILLIE MAE TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2094 14TH RD, PENDER, NE 68047-4027
(402) 922-1345
Mailing address
1537 N AVE, PENDER, NE 68047-4129
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
—
NE
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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