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NPI Code Detail

MEDICARE: BETH ELLEN LYONS MSPT

MEDICARE: BETH ELLEN LYONS MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistMA

General Provider Information

NPI Number : 1912562083
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH ELLEN LYONS MSPT
Provider Business Mailing Address
First Line : 10 TECH CIR
Second Line :
City : NATICK
State : MA
Zip : 01760-1029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 TECH CIR
Second Line :
City : NATICK
State : MA
Zip : 01760-1029
Country : US
Telephone Number : 781-239-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2019
Last Update Date : 05/04/2019

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Directions to “ BETH ELLEN LYONS MSPT” Practice Location

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