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Individual

LYNN MCCONACHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
15 PARKMAN ST, WANG AMBULATORY CARE CENTER, ROOM 127, BOSTON, MA 02114-3117
(617) 726-8537
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8537

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10635
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10635
NBCOT LICENSE NUMBER
MA
Enumeration date
05/06/2014
Last updated
05/06/2014
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