Tina Lyttle

NPI #1710380464 in Grayson, Georgia

Provider Information

NPI Number: 1710380464
Entity Type: Individual
Name: Tina Lyttle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 8, 2014
Last Updated: Nov 14, 2017

Practice Location

Address: 1151 GULFPORT RUN
City: Grayson
State: Georgia
ZIP Code: 30017-2963
Phone: (770) 296-5177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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