Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Mallissa Lyons, COTA

Individual provider Occupational Therapy Assistant · NPI 1104027309

Michelle Mallissa Lyons, COTA is an Occupational Therapy Assistant in Surprise, Arizona. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

14775 W Yorkshire Dr
Surprise, AZ 85374-7224
Phone: (623) 377-9698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6231 (NC)

Record details

NPI number1104027309
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESAugust 13, 2013

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