Individual
MRS. ANGELA GAIL LILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
(270) 769-3314
Mailing address
225 SAINT JOHN RD, ELIZABETHTOWN, KY 42701-2918
(270) 769-3314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002078
KY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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