Lyle, Edward Douglas
Lyle, Edward Douglas is an individual health care provider with primary practice located at 1900 Village Glen Dr , Saint Johns FL 32259-9241. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Lyle, Edward Douglas can be contacted via phone (904) 687-3271.Contact Information
Primary practice address
1900 Village Glen Dr
Saint Johns FL 32259-9241
Phone: (904) 687-3271
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT10086 | Florida |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT22244 | Florida |
Profile Details
| NPI number | 1093730764 |
|---|---|
| LBN Legal business name | Lyle, Edward Douglas |
| Credentials | DPT/MOT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jan 8th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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