Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 002347 | OH |
N | 2251P0200X | Physical Therapist - Pediatrics | 002347 | OH |
NPI | 1043432248 |
---|---|
Provider Name | Ms. Donna S Lilley |
First Address | Cincinnati, OH 45231-1916 |
Second Address | Cincinnati, OH 45231-1916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |