Individual
MS. LYNN A SALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5854 DAFRED DR, ROCKFORD, IL 61107-5112
(815) 985-8823
Mailing address
5854 DAFRED DR, ROCKFORD, IL 61107-5112
(815) 985-8823
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.006808
IL
Other
Enumeration date
05/06/2007
Last updated
06/02/2016
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