MEDICARE: LYNN H PALMER-FLAGG OT

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	225X00000X	Occupational Therapist	AH951OT	MA

General Provider Information

NPI Number	:	1760662431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN H PALMER-FLAGG OT

Provider Business Mailing Address
First Line	:	172 ROUTE 137
Second Line	:
City	:	EAST HARWICH
State	:	MA
Zip	:	02645-1316
Country	:	US
Telephone Number	:	774-237-0832
Fax Number	:	774-408-7164

Provider Business Practice Location Address
First Line	:	172 ROUTE 137
Second Line	:
City	:	EAST HARWICH
State	:	MA
Zip	:	02645-1316
Country	:	US
Telephone Number	:	774-237-0832
Fax Number	:	774-408-7164

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

Provider Enumeration Date	:	11/09/2007
Last Update Date	:	05/20/2024

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