Individual
KURTIS LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
31 ENSIGN DR, THE PERFECT WORKOUT, AVON, CT 06001-3773
(860) 409-9125
Mailing address
31 ENSIGN DR, THE PERFECT WORKOUT, AVON, CT 06001-3773
(860) 409-9125
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14.009466
CT
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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