Provider Demographics
NPI:1205161841
Name:DUNAY, LYNN ANN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:ANN
Last Name:DUNAY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:LYNN
Other - Middle Name:ANN
Other - Last Name:MATYSCZAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:71 W HARTFORD STREET
Mailing Address - Street 2:
Mailing Address - City:ASHLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18706
Mailing Address - Country:US
Mailing Address - Phone:570-820-0242
Mailing Address - Fax:
Practice Address - Street 1:53 GRAVEL STREET
Practice Address - Street 2:
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-3738
Practice Address - Country:US
Practice Address - Phone:570-371-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004446L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics