Provider Demographics
NPI:1760662431
Name:PALMER-FLAGG, LYNN H (OT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:H
Last Name:PALMER-FLAGG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 ROUTE 137
Mailing Address - Street 2:
Mailing Address - City:EAST HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-1316
Mailing Address - Country:US
Mailing Address - Phone:774-237-0832
Mailing Address - Fax:774-408-7164
Practice Address - Street 1:172 ROUTE 137
Practice Address - Street 2:
Practice Address - City:EAST HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-1316
Practice Address - Country:US
Practice Address - Phone:774-237-0832
Practice Address - Fax:774-408-7164
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAH951OT225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist