Corley Brooks Lyle, COTA/L

NPI #1629796677 in Ninety Six, South Carolina

Provider Information

NPI Number: 1629796677
Entity Type: Individual
Name: Corley Brooks Lyle, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: Aug 16, 2022
Last Updated: Aug 16, 2022

Practice Location

Address: 605 JOHNSTON RD
City: Ninety Six
State: South Carolina
ZIP Code: 29666-1417
Phone: (864) 543-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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