Individual
AMY MICHELLE LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4323
Mailing address
524 N WEST BLVD, VINELAND, NJ 08360-2845
(856) 405-4323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09080800
NJ
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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