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Individual

DANIEL P. LILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
800 COMPTON RD, UNIT 3, CINCINNATI, OH 45231-3826
(513) 522-6774
(513) 522-6789
Mailing address
800 COMPTON RD, UNIT 3, CINCINNATI, OH 45231-3826
(513) 522-6774
(513) 522-6789

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002125
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000010906
ANTHEM PROVIDER ID
OH
01
64-00298
UNITED HEALTH CARE PROVID
OH
01
PT 147
HUMANA PROVIDER ID
OH
Enumeration date
03/06/2007
Last updated
02/21/2008
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