| Doctor Name: | MRS. LILLIAN MARIE MCNULTYL |
| NPI Number: | 1003079161 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 002628 |
| Business Practice Address: | 4533 Park Ave Parkhaven Home Ashtabula, OH - 440046930 |
| Business Phone Number: | 8887963789 |
| Business Fax Number: | |
| Mailing Address: | 950 Millridge Rd, HIGHLAND HEIGHTS |
| State: | OH |
| Postal Code: | 441433114 |
| Phone Number: | 4409957300 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2008 |
| NPI Last Update Date: | 07/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XN1300X |
| License Number: | 002628 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Neurorehabilitation |
| Taxonomy Definition: | |