Individual
MR. DALE EDWARD LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 688-8449
(270) 240-4840
Mailing address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 302-9795
(270) 240-4840
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
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