Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT34594 | FL |
N | 2251P0200X | Physical Therapist - Pediatrics | PT.9281 | SC |
NPI | 1043791742 |
---|---|
Provider Name | Dr. Anna Lynch |
First Address | Miami, FL 33130-1894 |
Second Address | Miami, FL 33130-1894 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2018 |
Last Update Date | 21/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT.9281 | SOUTH CAROLINA PT LICENSE (01) | SC |
PT34594 | PT LICENSE (01) | FL |