Individual
ROBERTA LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 S 308TH ST, #20, FEDERAL WAY, WA 98003-4780
(509) 366-8983
Mailing address
1003 S 308TH ST, #20, FEDERAL WAY, WA 98003-4780
(509) 366-8983
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001220
WA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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