Provider Demographics
NPI:1699528547
Name:TOUB, LILA MILLER (DPT)
Entity type:Individual
Prefix:
First Name:LILA
Middle Name:MILLER
Last Name:TOUB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LILA
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:332 WASHINGTON ST STE 315
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-6204
Mailing Address - Country:US
Mailing Address - Phone:781-237-9006
Mailing Address - Fax:
Practice Address - Street 1:332 WASHINGTON ST STE 315
Practice Address - Street 2:
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-6204
Practice Address - Country:US
Practice Address - Phone:781-237-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA25208225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist