Individual
STACEY LILLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
264 PLEASANT ST, CONCORD, NH 03301-2551
(603) 228-4610
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7539
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3610
NH
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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