Individual
LYNELL MAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
Mailing address
3801 KERN WAY, YAKIMA, WA 98902-6340
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC 00000580
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC 00000580
WASHINGTON STATE DEPARTMENT OF HEALTH OCCUPATIONAL THERAPY ASSISTANCE LICENSE
WA
Enumeration date
06/27/2013
Last updated
06/27/2013
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