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General NPI Number Information
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NPI Number | 1144503806
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Entity Type | Individual
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Provider Name | THERESA LYNCH MS, OTRL
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Gender | Female
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 03/30/2024
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Provider Practice Location Address
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Address Line | 1044 CASTELLO DR STE 102
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City | NAPLES
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State | FL
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Zip | 34103-8981
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Country | US
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Telephone | 239-776-4001
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Fax | 239-494-4365
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Provider Business Mailing Address
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Address Line | PO BOX 10262
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City | NAPLES
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State | FL
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Zip | 34101-0262
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Country | US
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Telephone | 239-776-4001
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Fax | 239-494-4365
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201007131
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License Number State | MI
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