Individual
JILL LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5885 CENTRAL AVE, SAINT PETERSBURG, FL 33710-8510
(727) 345-3395
Mailing address
1758 S LAKE AVE, CLEARWATER, FL 33756-1826
(727) 584-1193
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA15662
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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