NPI 1508164658

Jeanette L Lillystone, CTRS

Practitioner Recreation Therapist Birmingham, MI

Practice location

Address: 1669 W Maple Rd, Birmingham, MI 48009-1230
Phone: (248) 646-3347
Mailing address: 136 S Wilson Ave, Royal Oak, MI 48067-2945

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Michigan →

Registry record

NPI: 1508164658
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Mar 2011
Record last updated: 15 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.