Individual
LYNN EADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12625 DUSTY WHEEL LN, FAIRFAX, VA 22033-1736
(703) 615-6553
Mailing address
12625 DUSTY WHEEL LN, FAIRFAX, VA 22033-1736
(703) 615-6553
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001284
VA
225X00000X
Occupational Therapist
OT 15189
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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