Individual
JESSICA A LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
215 BLOSSOM ST, GOOSE CREEK, SC 29445-3516
(843) 469-1400
Mailing address
215 BLOSSOM ST, GOOSE CREEK, SC 29445-3516
(843) 469-1400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5123
SC
Other
Enumeration date
04/12/2006
Last updated
11/24/2016
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