Individual
MARY R LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13700 N GAYTON RD, RICHMOND, VA 23233-7017
(804) 364-6352
(804) 364-6070
Mailing address
13209 CANTERBURY RD, MONTPELIER, VA 23192-2646
(804) 883-5061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306000485
VA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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