Individual
MRS. TARA ANNE LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 JACKSON AVE, MINEOLA, NY 11501-2710
(516) 237-2946
Mailing address
167 SACKVILLE RD, GARDEN CITY, NY 11530-1106
(516) 359-9824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
011106
NY
251300000X
Local Education Agency (LEA)
Primary
011106
NY
Other
Enumeration date
11/19/2008
Last updated
12/06/2011
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