Individual
LISA LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
909 17TH ST, FAIRBURY, NE 68352-1215
(402) 729-2289
Mailing address
909 17TH ST, FAIRBURY, NE 68352-1215
(402) 729-2289
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
990
NE
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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