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Individual

LYNETTE SUSANNE GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3715 W 7TH ST, ANACORTES, WA 98221-1273
(360) 488-3947
Mailing address
3715 W 7TH ST, ANACORTES, WA 98221-1273
(360) 488-3947

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
60004635
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60004635
OCCUPATIONAL THERAPIST
WA
Enumeration date
05/22/2008
Last updated
08/18/2019
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