Individual
LYDIA S PAWLYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-3417
(440) 816-8000
Mailing address
10165 LYNN DR, N ROYALTON, OH 44133-1425
(440) 582-4362
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
000937
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217474
ANTHEM BLUE CROSS AND BLU
OH
05
—
0842995
—
OH
01
—
OH4655A
BEECH STREET CORPORATION
—
Enumeration date
10/13/2006
Last updated
11/28/2007
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