Individual
MS. LYNNE DAHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
717 S US HIGHWAY 1, APT. 706, JUPITER, FL 33477-5975
(561) 301-2121
Mailing address
717 S US HIGHWAY 1, APT. 706, JUPITER, FL 33477-5975
(561) 301-2121
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA16736
FL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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