| Mr Douglas Lincoln Lilly, OTR/L | |
|
111 Fayette Ave, Fayetteville, WV 25840-1219 | |
| (304) 574-1176 | |
| (304) 574-4109 |
| Full Name | Mr Douglas Lincoln Lilly |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 111 Fayette Ave, Fayetteville, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790963007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 895 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Lincoln Lilly, OTR/L 111 Fayette Ave, Fayetteville, WV 25840-1219 Ph: (304) 574-1176 | Mr Douglas Lincoln Lilly, OTR/L 111 Fayette Ave, Fayetteville, WV 25840-1219 Ph: (304) 574-1176 |
Andrea Michele Logwood, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Avenue, Fayetteville, WV 25840 Phone: 304-222-1421 | |
Mrs. Brooke Sapp, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 Fayette Ave, Fayetteville, WV 25840 Phone: 304-574-1176 |