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Individual

AMY LINCOLN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
68 ALLISON AVE, TAUNTON, MA 02780-6958
(508) 880-0202
Mailing address
21 PINE DR, ACUSHNET, MA 02743-1932
(508) 995-6351

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7903
MA OT LICENSE
MA
Enumeration date
01/02/2008
Last updated
01/02/2008
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