DERRICK GEDDES LYONS

MERIDIAN, ID
NPI1508263757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT - 2994)
Enumeration Date2014-12-03
Last Update Date2014-12-03
Business Address
-- DERRICK GEDDES LYONS PT, DPT
1642 E ADELAIDE DR
MERIDIAN, ID 83642-9225
Phone number: 904-540-8975
Mailing Address
-- DERRICK GEDDES LYONS PT, DPT
1642 E ADELAIDE DR
MERIDIAN, ID 83642-9225
Phone number: