Individual
MR. DALE EDWARD LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
134498
KY
225XP0200X
Pediatric Occupational Therapist
Primary
134498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100268490
—
KY
Enumeration date
12/04/2006
Last updated
01/13/2021
Update your record
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