Individual
MS. LYNN TUKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
105 MAIN ST, SOUTH PORTLAND, ME 04106-2621
(207) 741-2624
Mailing address
52 DEAKE ST, SOUTH PORTLAND, ME 04106-3107
(207) 632-3271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT985
OCCUPATIONAL THERAPY ID #
ME
Enumeration date
03/18/2007
Last updated
07/08/2007
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