Individual provider · Type 1 NPI

Michelle Mallissa Lyons, COTA

Occupational Therapy Assistant · Surprise, AZ

NPI number 1104027309 Active

Practice location

14775 W Yorkshire Dr
Surprise, AZ 85374-7224

Call (623) 377-9698 Map

Mailing address

11846 W Jessie Ln
Sun City, AZ 85373-5433

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X6231 (NC)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104027309

Michelle Mallissa Lyons, COTA's National Provider Identifier is 1104027309, issued on May 29, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Surprise, AZ. The record was last updated on Aug 13, 2013.