Individual
AMBER LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OIT
Contact information
Practice address
25 GLENLAKE PKWY, SANDY SPRINGS, GA 30328-3403
(470) 278-2254
(317) 884-3388
Mailing address
8777 PURDUE RD STE 330, INDIANAPOLIS, IN 46268-3121
(800) 603-6046
(317) 884-3388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT004010
GEORGIA STATE OCCUPATIONAL THERAPY LICENSE
GA
Enumeration date
04/19/2018
Last updated
04/19/2018
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