MRS. Tracy Lyman

NPI #1982845244 in Endwell, New York

Provider Information

NPI Number: 1982845244
Entity Type: Individual
Name: MRS. Tracy Lyman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 17, 2009
Last Updated: Mar 7, 2013

Practice Location

Address: 1004 SOUTHERN PINES DR
City: Endwell
State: New York
ZIP Code: 13760-1807
Phone: (607) 341-6096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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