Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251S0007X | Physical Therapist - Sports | P16742 | NC |
NPI | 1487195350 |
---|---|
Provider Name | Dr. Daniel Lynch |
First Address | Durham, NC 27705 |
Second Address | Durham, NC 27705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2017 |
Last Update Date | 13/03/2017 |