Individual
KIMBERLY A LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
744 THE RIALTO, VENICE, FL 34285-3524
(941) 484-5500
(941) 484-5510
Mailing address
744 THE RIALTO, VENICE, FL 34285-3524
(941) 484-5500
(941) 484-5510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16014
FL
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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