Active NPIIndividual providerSole proprietor

Jessica Lynch, OTR

Occupational Therapist, Pediatrics in Wyckoff, New Jersey

NPI Number1053960963
Practice location
210 Hillcrest Ave, Wyckoff, NJ 07481-3213
Fax
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Last updated
September 4, 2019

Jessica Lynch is an Occupational Therapist, Pediatrics based in Wyckoff, NJ. Jessica Lynch practices in Wyckoff, NJ and has the professional credentials of OTR. The NPI Number for Jessica Lynch is 1053960963 and holds a License No. 46TR00383000 (NJ). The current practice location address for Jessica Lynch is 210 Hillcrest Ave, Wyckoff, NJ 07481-3213 and can be reached out via phone at 917-273-7433.

Provider Profile Details

NPI Number
1053960963
Provider Name
Jessica Lynch
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
210 Hillcrest Ave, Wyckoff, NJ 07481-3213
Phone Number
917-273-7433
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
September 4, 2019
Last Update Date
September 4, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
210 Hillcrest Ave
Wyckoff, NJ 07481-3213
Zip
07481-3213
Phone Number
917-273-7433
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
210 Hillcrest Ave
Wyckoff, NJ 07481-3213
City
Wyckoff
State
NJ
Zip
07481-3213

License Information

License Number
46TR00383000
License State
NJ
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Lynch, OTR?

The NPI number of Jessica Lynch, OTR is 1053960963. It was assigned on September 4, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica Lynch, OTR?

Jessica Lynch, OTR is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number 46TR00383000.

Where does Jessica Lynch, OTR practice?

The practice location is 210 Hillcrest Ave, Wyckoff, NJ 07481-3213. The office can be reached at 917-273-7433 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053960963 directly on the NPPES registry website.

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