Individual
MRS. BRENDA KAY LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 823-8100
(252) 823-7800
Mailing address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 823-8100
(252) 823-7800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2514
NC
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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