IndividualActive
Colleen Lillis, MSPT
NPI 1336478239 · Pediatric Physical Therapist · Frederick, MD
Provider details
- NPI number
- 1336478239
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- No
- License
- 20181 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
86 Thomas Johnson Ct
Frederick, MD 21702-4348
Phone: (301) 694-8311
Fax: (301) 694-3537
Approximate (ZIP-level) locationGet directions
Mailing address
86 Thomas Johnson Ct
Frederick, MD 21702-4348
Registry dates
- Enumerated
- 2009-12-24
- Last updated
- 2009-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.