Individual
JORDAN ASHLEY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
144 MAGNOLIA DR, CAPE MAY CH, NJ 08210-2141
(609) 465-7171
Mailing address
1205 OCEAN AVE, UNIT C, NORTH WILDWOOD, NJ 08260-5656
(609) 435-0708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09133500
NJ
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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