Individual provider · Type 1 NPI

Douglas Lincoln Lilly, OTR/L

Occupational Therapist · Fayetteville, WV

NPI number 1790963007 Active

Practice location

111 Fayette Ave
Fayetteville, WV 25840-1219

Fax (304) 574-4109

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X895 (WV)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1790963007

Douglas Lincoln Lilly, OTR/L's National Provider Identifier is 1790963007, issued on Feb 8, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fayetteville, WV. The record was last updated on Feb 8, 2008.