Edward Douglas Lyle II DPT/MOT

NPI 1093730764 - Physical Therapist - 225100000X

NPI Details
NPI 1093730764
Gender Male
Enumeration Date 07/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1833 BOULEVARD
JACKSONVILLE FL, 32206-4382, US
Phone (904) 232-2751
Fax
Business Location
498 SCRUB JAY DR
ST AUGUSTINE FL, 32092-1709, US
Phone (904) 687-3271
Fax
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PT22244
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According to our database, Dr. Edward Douglas Lyle II DPT/MOT NPI is 1093730764, taxonomy code is 225100000X and license number is PT22244, license state is located at Florida. Edward Douglas Lyle II DPT/MOT physically located at 1833 Boulevard, Jacksonville FL, 32206-4382. NPI Number Edward Douglas Lyle II DPT/MOT has the Individual type.

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1093730764 NPI number is provided on an as is basis without warranty of any kind. 1093730764 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Douglas Lyle II DPT/MOT are for informational purposes only.