Female

Lynn D. Bulow COTA/L

Occupational Therapy Assistant in Moapa, NV(View on Map)

Full Name

Lynn D Bulow COTA/L

NPI Number

1124406855

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/14/2015

Specialties

(Taxonomies)

Code

224Z00000X

Primary Taxonomy

Yes

Licenses

State

California

License Number

OTA 2583

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 548
925 GADIANTON

City

Moapa
Moapa

State

NV
NV

Postal Code

89025-0548
89025

Country

US
US

Telephone Number

(801) 680-3468
(801) 680-3468

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/14/2015

Provider Address