MEDICARE: MRS. SUZANNE LOUISE LYNCH MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	028116-1	NY
2	2251X0800X	Orthopedic Physical Therapist	60313598	WA

General Provider Information

NPI Number	:	1760641104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUZANNE LOUISE LYNCH MPT

Provider Business Mailing Address
First Line	:	101 NICKERSON ST
Second Line	:	SUITE 110
City	:	SEATTLE
State	:	WA
Zip	:	98109-1654
Country	:	US
Telephone Number	:	206-402-4732
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 NICKERSON ST
Second Line	:	SUITE 110
City	:	SEATTLE
State	:	WA
Zip	:	98109-1654
Country	:	US
Telephone Number	:	206-402-4732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2008
Last Update Date	:	07/16/2013

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