Individual
MR. CAMERON RYE LYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
380 WINTERS HOLLOW LN, ERIN, TN 37061-6822
(931) 241-7509
Mailing address
380 WINTERS HOLLOW LN, ERIN, TN 37061-6822
(931) 801-2328
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2086
TN
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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