Individual
AMY SMALL LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
601 S MAIN ST, UNIT B, REIDSVILLE, NC 27320-5035
(336) 342-3383
(336) 342-3384
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130VG
BCBS
NC
05
—
7211069
—
NC
Enumeration date
08/31/2006
Last updated
06/16/2014
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