Individual
KATHERINE LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1575 SCOTT DR, FARMVILLE, VA 23901-2662
(434) 392-8806
Mailing address
104 WATSON RD, SPRINGFIELD, TN 37172-4510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11106
TN
225100000X
Physical Therapist
2305209825
VA
225100000X
Physical Therapist
32336
FL
Other
Enumeration date
11/19/2015
Last updated
03/31/2020
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