Individual
MISS ANDREA K LYNCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
928 MAR WALT DR, SUITE 104, FT WALTON BEACH, FL 32547-6706
(850) 218-0210
Mailing address
611 CROWDER CT, FT WALTON BEACH, FL 32547-3624
(850) 863-1109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL1646
ATHLETIC TRAINER LICENSE
FL
Enumeration date
10/24/2005
Last updated
07/08/2007
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