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Individual
SEAN P LYONS
Active
Individual
SEAN P LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
00605
IA
225X00000X
Occupational Therapist
Primary
056-003003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00605
IOWA OT LICENSE NUMBER
IA
01
—
056-003003
ILLINOIS OT LICENSE NO
IL
Enumeration date
05/30/2006
Last updated
04/12/2012
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