Individual
COURTNEY MARIE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
38 MITCHELL AVE, EAST BRUNSWICK, NJ 08816-1234
(908) 239-9342
Mailing address
38 MITCHELL AVE, EAST BRUNSWICK, NJ 08816-1234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09107900
NJ
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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