Most Relevant Information
Provider Data
| NPI Number: | 1003514977 |
| Provider Name: | KATHERINE MARY LYONS PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 011291 |
Most Important Dates
| Enumeration Date: | 02/21/2023 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
6711 TOWPATH RD STE 100
EAST SYRACUSE
NY
130579509
Practice Location Phone/Fax
| Phone: | 3156374747 |
| Fax: | 3156376711 |
Provider Mailing Location
6711 TOWPATH RD STE 100
EAST SYRACUSE
NY
130579509
Provider Mailing Phone/Fax
| Phone: | 3156374747 |
| Fax: | 3156376711 |