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NPI Code Detail

MEDICARE: LILY FEKAD WOLDU ROT

MEDICARE:   LILY FEKAD WOLDU  ROT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist111676TX

General Provider Information

NPI Number : 1407890247
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILY FEKAD WOLDU ROT
Provider Business Mailing Address
First Line : 22 RED SABLE DR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2693
Country : US
Telephone Number : 281-292-9323
Fax Number : 281-292-9323
Provider Business Practice Location Address
First Line : 440 BENMAR DR
Second Line : SUITE 1205
City : HOUSTON
State : TX
Zip : 77060-3165
Country : US
Telephone Number : 281-260-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 10/29/2008

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Directions to “ LILY FEKAD WOLDU ROT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.