Organization
LYNN OCCUPATIONAL THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE EDWARD LYNN OTR/L (OCCUPATIONAL THREAPIST)
(270) 688-8449
Entity
Organization
Contact information
Practice address
1003 BURLEW BOULEVARD, SUITE C, OWENSBORO, KY 42303
(270) 688-8449
(270) 240-4840
Mailing address
1003 BURLEW BOULEVARD, SUITE C, OWENSBORO, KY 42303
(270) 688-8449
(270) 240-4840
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005369
KY
225XP0200X
Pediatric Occupational Therapist
Primary
134498
KY
235Z00000X
Speech-Language Pathologist
142037
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100271900
—
KY
Enumeration date
12/09/2013
Last updated
11/10/2016
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