Individual
MARTHA LAUREN FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 DAVEGA DR, LEXINGTON, SC 29073-9698
(803) 764-9498
Mailing address
116 CANTING WAY, LEXINGTON, SC 29072-8109
(803) 447-1506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3688
SC
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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