Individual
MS. LYNN MARIE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1615 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5168
(715) 685-5126
Mailing address
65562 HUHN RD, ASHLAND, WI 54806-2198
(715) 682-3400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40834700
—
WI
Enumeration date
10/16/2007
Last updated
10/16/2007
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