Individual
KELLY MARIE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 N BRADLEY RD, LAKE FOREST, IL 60045-1020
(847) 615-8696
Mailing address
5123 N NASHVILLE AVE, CHICAGO, IL 60656-3716
(773) 419-7803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009906
IL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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