Individual
LYNETTE LOUISE REGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7540 N 19TH AVE, SUITE 200, PHOENIX, AZ 85021-7967
(188) 887-3422
Mailing address
PO BOX 196, STOCKTON SPRINGS, ME 04981-0196
(207) 567-3604
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA2241
ME
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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