Individual
MRS. DEBORA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 CEDAR RIDGE RD, SISSONVILLE, WV 25320-9502
(304) 984-0046
Mailing address
302 CEDAR RIDGE RD, SISSONVILLE, WV 25320-9502
(304) 984-0046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1151
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151
WV LICENSE
WV
Enumeration date
08/09/2007
Last updated
08/09/2007
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