Individual
MR. KEITH ALEXANDER LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RPT
Contact information
Practice address
430 MANSFIELD RD, ASHFORD, CT 06278-1416
(860) 573-4923
Mailing address
430 MANSFIELD RD, ASHFORD, CT 06278-1416
(860) 573-4923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007168
CT
Other
Enumeration date
05/19/2007
Last updated
11/07/2012
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