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Individual

CHRISTY L LILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9700 STONESTREET RD, LOUISVILLE, KY 40272-2884
(502) 995-6200
Mailing address
7041 BRONNER CIR UNIT 3, LOUISVILLE, KY 40218-3755
(814) 282-5144

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03933
KY
225200000X
Physical Therapy Assistant

Other

Enumeration date
02/25/2019
Last updated
02/27/2019
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