Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC006939L | PA |
N | 225XH1200X | Occupational Therapist - Hand | ||
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation |
NPI | 1003153248 |
---|---|
Provider Name | Mrs. Joanne Marie Lynch |
First Address | Blue Bell, PA 19422-3367 |
Second Address | Blue Bell, PA 19422-3367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2013 |
Last Update Date | 28/01/2013 |