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Individual

MS. LYNN M JANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
1401 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-7151
(541) 882-6691
(541) 885-4515
Mailing address
322 WALLENS RIDGE BLVD W, APT. 2, BIG STONE GAP, VA 24219-2759
(541) 880-4342

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
242685
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278773
OR
Enumeration date
04/11/2007
Last updated
12/17/2012
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