Individual provider · Type 1 NPI

Jeanette L. Lillystone, CTRS

Recreation Therapist · Birmingham, MI

NPI number 1508164658 Active

Practice location

1669 W Maple Rd
Birmingham, MI 48009-1230

Call (248) 646-3347 Map

Mailing address

136 S Wilson Ave
Royal Oak, MI 48067-2945

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1508164658

Jeanette L. Lillystone, CTRS's National Provider Identifier is 1508164658, issued on Mar 14, 2011. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Birmingham, MI. The record was last updated on Mar 15, 2011.