Individual
MISS DANETTE NAKITA LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
763 N OAK DR, BRONX, NY 10467-6559
(646) 964-7610
Mailing address
763 N OAK DR, BRONX, NY 10467-6559
(646) 964-7610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018073-1
NY
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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