Individual
MRS. LYNANNE JOYCE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
1711 NE 59TH CT, FORT LAUDERDALE, FL 33334-5944
(954) 489-1522
(954) 351-1380
Mailing address
1711 NE 59TH CT, FORT LAUDERDALE, FL 33334-5944
(954) 489-1522
(954) 351-1380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT9082
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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