Individual
SHARON LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
Mailing address
6320 DEERVIEW DR, RALEIGH, NC 27606-9563
(919) 906-2739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0504
NC
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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