Individual
CASEY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2789 PINE GROVE RD, LINDSIDE, WV 24951-7053
(304) 673-9077
Mailing address
21 OSPREY RD, BECKLEY, WV 25801-1605
(304) 673-9077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
C2179
WV
225X00000X
Occupational Therapist
Primary
2245
WV
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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