Individual
DR. LILY IRENE NEALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-3120
(253) 968-1110
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60970748
WA
2255A2300X
Athletic Trainer
161035840
WA
Other
Enumeration date
11/23/2019
Last updated
05/24/2021
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