# MRS. RACHEAL MARIE LYON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194225383
- **Gender:** F
- **Credential:** COTA/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | OTA.004980 | OH | Yes |

## Other

- **Enumeration date:** 02/14/2018
- **Last updated:** 05/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SOCIAL SECURITY OFFICE | OH |