Lynn Mary Proulx, OTR/L
Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Chester, MA
NPI 1669755138 · NPPES record last updated Sep 21, 2011
Key facts
- NPI
- 1669755138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Rehabilitation Occupational Therapist 225XP0019X
- License
- 7928 (MA)
- Practice address
- 7 Lynes Rd
Chester, MA 01011-9679 - Phone
- (413) 354-6322
- NPI assigned
- Sep 21, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7928 | MA | MD | Physical Rehabilitation Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 7928 | MA | Yes |
Addresses
Primary practice location
7 Lynes Rd
Chester, MA 01011-9679
Mailing address
7 Lynes Rd
Chester, MA 01011-9679
Phone (413) 354-6322
Other providers in Chester, MA
All providers in Chester, MA · Physical Rehabilitation Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.