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Individual

MRS. LYNDSEY ANN KINANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT, CHT

Contact information

Practice address
101 2ND ST APT 302, PETALUMA, CA 94952-7404
(310) 990-2346
Mailing address
101 2ND ST APT 302, PETALUMA, CA 94952-7404
(310) 990-2346

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1121
CA
225XH1200X
Hand Occupational Therapist
Primary
1121
CA

Other

Enumeration date
12/05/2008
Last updated
11/30/2010
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