Individual
MRS. JACQUELINE JOSEPHINE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
495 HOFFMAN LN, HAUPPAUGE, NY 11788-3102
(631) 863-9814
Mailing address
361 SAMPSON AVE, ISLANDIA, NY 11749-5548
(631) 582-4366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005252-01
NY
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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