Provider Demographics
NPI:1033974225
Name:O'TOOLE, LILLY (OTD)
Entity Type:Individual
Prefix:
First Name:LILLY
Middle Name:
Last Name:O'TOOLE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7795 S BLACKSTONE PKWY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7332
Mailing Address - Country:US
Mailing Address - Phone:720-886-1400
Mailing Address - Fax:
Practice Address - Street 1:7795 S BLACKSTONE PKWY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7332
Practice Address - Country:US
Practice Address - Phone:720-886-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics