Individual
LYNN MARIE KING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4546 S 14TH ST, ABILENE, TX 79605-4737
(325) 795-9675
(325) 795-9680
Mailing address
4546 S 14TH ST, ABILENE, TX 79605-4737
(325) 795-9675
(325) 795-9680
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1423
BCBS
—
01
—
A003
TRICARE
—
Enumeration date
09/06/2005
Last updated
07/08/2007
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