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Contact Information

STACEY L LILLIGORE GREEN, P.T.A
267 LOTT AVE.
BARRINGTON, NJ08007
 Phone: 609-313-4652
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for STACEY L LILLIGORE GREEN · (Female)

NPI Number 1285907709
Status Active
Credentials P.T.A
Entity Individual
Enumeration date 02/14/2012
Last updated 02/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QB00268700
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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