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Individual

AMY I LYNCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
27 COLWELL STREET, PORT HADLOCK, WA 98339-0897
(360) 385-9310
(360) 379-8826
Mailing address
PO BOX 0897, PORT HADLOCK, WA 98339-0897
(360) 385-9310
(360) 379-8826

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007149
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5116LY
REGENCE BLUE SHIELD
WA
01
7824409
AETNA
WA
01
8374696
DSHS
WA
05
8374696
WA
01
8943400
CRIME VICTIMS
WA
01
A003
TRICARE WEST
WA
01
G8862188
MEDICARE GROUP NUMBER
WA
Enumeration date
07/18/2006
Last updated
01/07/2008
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