Individual
MS. CYNTHIA LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., LMT
Contact information
Practice address
6413 JACK WRIGHT ISLAND RD, SAINT AUGUSTINE, FL 32092-1910
(904) 607-9991
Mailing address
6413 JACK WRIGHT ISLAND RD, SAINT AUGUSTINE, FL 32092-1910
(904) 607-9991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 6114
FL
225700000X
Massage Therapist
MA38366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-2460084
TAX ID #
FL
Enumeration date
09/26/2006
Last updated
02/20/2017
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