Organization Name: | LILLY PHYSICAL THERAPY LLC |
NPI Number: | 1659784635 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LJILJANA LILLY BOJIC (OWNER) |
Mailing Address: | 24007 Edmonds Way Edmonds |
State: | WA US |
Postal Code: | 980269161 |
Phone Number: | 4252242476 |
Fax Number: | 4252242612 |
NPI Enumeration Date: | 06/06/2014 |
NPI Last Update Date: | 12/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 00010335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |