Individual
MR. DEARL XAMMINES LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCCUPATION THERAPIST
Contact information
Practice address
2424 N WYATT DR, SUITE 130, TUCSON, AZ 85712-6115
(520) 784-6570
(520) 784-6574
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6570
(520) 784-6574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3882
AZ
225XH1200X
Hand Occupational Therapist
Primary
3882
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395197
—
AZ
Enumeration date
05/01/2006
Last updated
04/16/2013
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