Individual
AMANDA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL, OTD
Contact information
Practice address
1923 BAINBRIDGE ST, PHILADELPHIA, PA 19146-1430
(215) 469-1832
Mailing address
PO BOX 30532, PHILADELPHIA, PA 19103-8532
(215) 469-1832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013060
PA
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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