Individual
JESSICA R LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 FOURTH AVENUE, GALLIPOLIS, OH 45631
(740) 446-3560
(740) 441-9316
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-3560
(740) 441-9316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.006757
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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