Individual
KELLY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
222 PARK PL, WAUKESHA, WI 53186-4883
(262) 446-9300
Mailing address
1905 W HART RD, BELOIT, WI 53511-2230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5440-26
WI
Other
Enumeration date
04/21/2014
Last updated
05/18/2023
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