Individual
STACY A LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 446-7112
(740) 446-9088
Mailing address
792 STORYS RUN, CHESHIRE, OH 45620-9597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08183
OH
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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