Individual
KERRY LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 STATE ROAD 436, WINTER PARK, FL 32792-2244
(407) 629-9455
Mailing address
1935 STATE ROAD 436, WINTER PARK, FL 32792-2244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17317
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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