Individual
PROF. MARY KATHLEEN LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6860 N AMAHL DR, TUCSON, AZ 85704-1211
(520) 404-1547
Mailing address
6860 N AMAHL DR, TUCSON, AZ 85704-1211
(520) 404-1547
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1075
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075
AZ STATE BOARD OF OT EXAM
AZ
01
—
AA447300
NATIONAL OT BOARD
—
Enumeration date
02/18/2007
Last updated
05/20/2013
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