Most Relevant Information
Provider Data
| NPI Number: | 1003079161 |
| Provider Name: | LILLIAN MARIE MCNULTYL OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225XN1300X |
| Specialty: | Occupational Therapist |
| License Number: | 002628 |
Most Important Dates
| Enumeration Date: | 07/08/2008 |
| Last Updated: | 07/08/2008 |
Provider Practice Location
4533 PARK AVE
PARKHAVEN HOME
ASHTABULA
OH
440046930
Practice Location Phone/Fax
| Phone: | 8887963789 |
| Fax: |
Provider Mailing Location
950 MILLRIDGE RD
HIGHLAND HEIGHTS
OH
441433114
Provider Mailing Phone/Fax
| Phone: | 4409957300 |
| Fax: |