Individual
MICHELLE LEA LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4895 W WATERS AVE, TAMPA, FL 33634-1316
(813) 932-3315
(813) 935-9835
Mailing address
2050 WISE RD, ZEPHYRHILLS, FL 33540-7125
(727) 433-2881
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23645
FL
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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