Individual
MR. TIMOTHY L LYLES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1118 W CROSS ST, ANDERSON, IN 46011-9530
(765) 274-4464
Mailing address
105 N HUDSON ST, SHERIDAN, IN 46069-1133
(240) 357-6612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006851A
IN
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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