Individual
MS. AMANDA RENEE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5577 S LEWIS AVE, TULSA, OK 74105-7132
(918) 749-0003
Mailing address
5577 S LEWIS AVE, TULSA, OK 74105-7132
(918) 749-0003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4204
OK
2255A2300X
Athletic Trainer
444
OK
Other
Enumeration date
05/02/2007
Last updated
08/07/2012
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