Doctor Name: | MRS. AMY M. LILLEY |
NPI Number: | 1043644909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, GCS |
License Number: | PT1682 |
Business Practice Address: | 121 Holmes Rd Scarborough, ME - 040748419 |
Business Phone Number: | 2077564659 |
Business Fax Number: | |
Mailing Address: | 121 Holmes Rd, SCARBOROUGH |
State: | ME |
Postal Code: | 040748419 |
Phone Number: | 2077564659 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2013 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | PT1682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |