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Contact Information

MARY LILLY
2601 REYNOLDA RD.
BRIGHTON GARDENS OF WINSTON SALEM
WINSTON-SALEM, NC27106
 Phone: 336-397-4842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MARY LILLY · (Female)

NPI # 1437525813
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2015
Last updated 08/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 8579
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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