Individual
PAULA JEAN LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3117 SHORE DR STE 101, MARINETTE, WI 54143-4293
(715) 735-4200
Mailing address
PO BOX 735031, CHICAGO, IL 60673-5031
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4562-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41057200
—
WI
Enumeration date
03/08/2008
Last updated
03/11/2024
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