| NPI | 1902292287 |
|---|---|
| Former Name | CAROLYN LYONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TX 2151295) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA.09072) |
| 225200000X Physical Therapy Assistant (Licence: AZ PTA-013942) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2023-04-11 |