Individual provider · Type 1 NPI

Marie Louise Illius, PTA

Contractor · Seven Hills, OH

NPI number 1407804719 Active

Practice location

5700 Lombardo Ctr, Rock Run North Suite 205
Seven Hills, OH 44131-2540

Mailing address

33865 Brokaw Rd
Columbia Station, OH 44028-9779

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XPTA.04976 (OH)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1407804719

Marie Louise Illius, PTA's National Provider Identifier is 1407804719, issued on May 5, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Seven Hills, OH. The record was last updated on Jul 13, 2026.