Individual
MRS. RACHEAL MARIE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
186 W BATH RD, CUYAHOGA FALLS, OH 44223-2516
(330) 922-9911
Mailing address
2250 DORCHESTER DR, KENT, OH 44240-5653
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
OTA.004980
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY OFFICE
OH
Enumeration date
02/14/2018
Last updated
05/21/2020
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