Individual
JOAN ELLEN LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L CLWT
Contact information
Practice address
1503 MAIN ST, CREIGHTON, NE 68729-3007
(402) 358-5759
Mailing address
1603 BRYANT AVE, CREIGHTON, NE 68729-2966
(402) 358-0081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1066
NE
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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