Individual
LYNLY J HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
401 7TH ST S, HETTINGER, ND 58639-7466
(701) 567-6044
Mailing address
401 7TH ST S, HETTINGER, ND 58639-7466
(701) 567-6044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1240
ND
225XP0200X
Pediatric Occupational Therapist
1240
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1240
ND LICENSURE
ND
Enumeration date
09/12/2012
Last updated
04/13/2017
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