NPI 1083174635

Jonah Lytch, COTA

Practitioner Occupational Therapy Assistant Advance, NC

Practice location

Address: 142 Bermuda Village Dr, Advance, NC 27006-7867
Phone: (336) 998-6763
Mailing address: 935 Boyer Dr, Clemmons, NC 27012-9476

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5189 (NC)

Other Occupational Therapy Assistant providers in North Carolina →

Registry record

NPI: 1083174635
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2019
Record last updated: 20 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.