Individual
LYDA S REESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1016 FLETCHER ST, WILKESBORO, NC 28697-9472
(336) 667-1808
Mailing address
39 KERLEY SCHOOL LN, TAYLORSVILLE, NC 28681-3587
(828) 635-5802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3924
NC
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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