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Individual

MS. COURTNEY LILLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1183 LUTHER DR, HAGERSTOWN, MD 21740-7407
(240) 420-4112
Mailing address
891 LINDIA DR, CHAMBERSBURG, PA 17202-8793
(717) 261-5754

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2865
MD
225200000X
Physical Therapy Assistant
TEI000294
PA

Other

Enumeration date
03/28/2016
Last updated
03/28/2016
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