Individual
MS. LYNN MARIE WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1176 DEWING LN, WALNUT CREEK, CA 94595-1412
(925) 930-8749
(925) 930-8749
Mailing address
1176 DEWING LN, WALNUT CREEK, CA 94595-1412
(925) 930-8749
(925) 930-8749
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT8383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AN564Z
MEDICARE PTAN #
CA
Enumeration date
10/26/2006
Last updated
07/29/2011
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