Individual
LYNSEY FENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(971) 206-5171
Mailing address
629 S JOHNSON ST APT 4, IOWA CITY, IA 52240-4869
(515) 473-8359
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
082503
IA
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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