Individual
EBONY LYNELL LINDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
547 TRYMORE DR SE, PALM BAY, FL 32909-2373
(929) 271-4795
Mailing address
547 TRYMORE DR SE, PALM BAY, FL 32909-2373
(929) 271-4795
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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