Individual
MRS. DELENE R LYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1101 26TH ST S, GREAT FALLS, MT 59405-5161
(406) 455-5412
Mailing address
1800 11TH ST SW, GREAT FALLS, MT 59404-3406
(406) 455-5412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
419
MT
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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