Individual
MELINDA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5118 W PERSHING AVE, GLENDALE, AZ 85304-1317
(623) 271-4558
Mailing address
5118 W PERSHING AVE, GLENDALE, AZ 85304-1317
(623) 271-4558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA047120
AZ
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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