Healthcare Provider Details

I. General information

NPI: 1447183306
Provider Name (Legal Business Name): LYNCH'S PEDIATRIC THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 BARKSDALE BLVD
BOSSIER CITY LA
71112
US

IV. Provider business mailing address

5147 BOBBIE LN
BOSSIER CITY LA
71112-9825
US

V. Phone/Fax

Practice location:
  • Phone: 318-918-4472
  • Fax:
Mailing address:
  • Phone: 318-918-4472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. REBECCA LYNN LYNCH
Title or Position: OCCUPATIONAL THERAPIST/OWNER
Credential: OTD, LOTR
Phone: 318-918-4472