Individual
SYDNEY ALYX LILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
480 S ROGERS RD, OLATHE, KS 66062-1706
(913) 324-3849
Mailing address
322 E COLLEEN DR, GARDNER, KS 66030-1903
(913) 710-3624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-03320
KS
225X00000X
Occupational Therapist
2017027152
MO
Other
Enumeration date
07/17/2017
Last updated
04/08/2024
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