Tina Marie Lilly, PTA
NPI #1043510308 in Summersville, West Virginia
Provider Information
- NPI Number
- 1043510308
- Entity Type
- Individual
- Name
- Tina Marie Lilly, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 2, 2010
- Last Updated
- Nov 2, 2010
Practice Location
- Address
- 207 MERCHANTS WALK
- City
- Summersville
- State
- West Virginia
- ZIP Code
- 26651-1901
- Phone
- (304) 872-7498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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