Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OTA10388 | FL |
NPI | 1023776515 |
---|---|
Provider Name | Teri-Ann Lynch |
First Address | Homosassa, FL 34446-5028 |
Second Address | Homosassa, FL 34446-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2021 |
Last Update Date | 02/12/2021 |