Individual
LYNDA FAWN FAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2150 E HIGHLAND AVE STE 105, PHOENIX, AZ 85016-4720
(480) 447-3262
Mailing address
3041 W SANDRA TER, PHOENIX, AZ 85053-3009
(602) 740-2863
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2901
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817322
—
AZ
Enumeration date
03/14/2007
Last updated
07/12/2024
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