Individual
MARTIE LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6421 S MILLER BLVD, OKLAHOMA CITY, OK 73159-1605
(405) 587-3800
Mailing address
615 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-7440
(504) 587-0000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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