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Individual

MRS. STACEY LEE LILLIGORE-GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
267 LOTT AVE., BARRINGTON, NJ 08007
(609) 313-4652
Mailing address
267 LOTT AVE, BARRINGTON, NJ 08007-1235
(609) 313-4652

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00268700
NJ

Other

Enumeration date
02/14/2012
Last updated
02/14/2012
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