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Individual

KATHLEEN LYONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
42532 LEGACY PARK DR, ASHBURN, VA 20148-5618
(540) 582-2875
Mailing address
42532 LEGACY PARK DR., ASHBURN, VA 20148
(540) 582-2875

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603287
VA
225200000X
Physical Therapy Assistant
3903
NC

Other

Enumeration date
05/19/2008
Last updated
10/22/2012
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