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Individual

JAY LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
5575 N AUTUMN DR, COLUMBIA, MO 65202-9796
(573) 356-4828
Mailing address
5575 N AUTUMN DR, COLUMBIA, MO 65202-9796
(573) 356-4828

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
224Z00000X
NPPES
MO
Enumeration date
10/15/2007
Last updated
10/17/2007
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