Individual
SANDRA CECILIA LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9036 MOUNT SHASTA DR, EL PASO, TX 79904-1550
(915) 276-6155
Mailing address
9036 MOUNT SHASTA DR, EL PASO, TX 79904-1550
(915) 276-6155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214989
TX
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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