Individual
LYRA ELAINE MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2545 24TH ST, ROCK ISLAND, IL 61201-5305
(309) 788-0458
Mailing address
200 PRUITT LN, SCOTTSVILLE, KY 42164-9461
(618) 302-3988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002421
IL
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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