Individual
MRS. MACKENZIE MAE LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4121 KING RD, SYLVANIA, OH 43560-4438
(419) 517-8202
Mailing address
665 NORTHFIELD DR, MAUMEE, OH 43537-2409
(419) 206-5471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006950
OH
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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