Jonah Lytch, COTA
Occupational Therapy Assistant in Advance, NC. Individual provider (NPI-1).
NPI number1083174635
StatusActive
Last updated in NPPESMar 20, 2019
Details
- NPI
- 1083174635
- Entity type
- Individual (NPI-1)
- Name
- Jonah Lytch
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2019
- Last updated
- Mar 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5189 | NC | Yes |
Practice location
142 Bermuda Village DrAdvance, NC 27006-7867
Phone 336-998-6763
Mailing address
935 Boyer DrClemmons, NC 27012-9476
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