Individual
LYNN R YOCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 HICKORY ST, ANACONDA, MT 59711-2918
(406) 563-4285
Mailing address
523 HICKORY ST, ANACONDA, MT 59711-2918
(406) 563-4285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
475
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475
STATE LICENSE
MT
Enumeration date
08/18/2008
Last updated
08/18/2008
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