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Individual

DANA M LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4701 CITY CENTER PKWY, PORT ORANGE, FL 32129-4153
(386) 236-7010
Mailing address
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4312
(904) 345-7336

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26753
FL

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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