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
ZIP Code
26651-1901
Phone
(304) 872-7498

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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