Individual
DR. EDWARD DOUGLAS LYLE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT/MOT
Contact information
Practice address
1900 VILLAGE GLEN DR, SAINT JOHNS, FL 32259-9241
(904) 687-3271
Mailing address
1900 VILLAGE GLEN DR, SAINT JOHNS, FL 32259-9241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22244
FL
225XH1200X
Hand Occupational Therapist
OT10086
FL
Other
Enumeration date
07/13/2006
Last updated
01/08/2025
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