Individual
LESLY LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PALM SPRINGS DR, COLO SPGS, CO 80921-2648
(719) 650-4829
Mailing address
130 PALM SPRINGS DR, COLO SPGS, CO 80921-2648
(719) 650-4829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
274782
CO
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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