Riley, Lynn T

Riley, Lynn T is an sole proprietor health care provider with primary practice located at 4300 Evans To Locks Rd , Evans GA 30809-8028. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Riley, Lynn T can be contacted via phone (706) 737-9250.

Contact Information

Primary practice address
4300 Evans To Locks Rd Evans GA 30809-8028
Phone: (706) 737-9250
Fax: (706) 733-0697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT001060 Georgia

Profile Details

NPI number 1962591677
LBN Legal business name Riley, Lynn T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jan 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962591677 NPPES
Georgia MEDICAID 00552285C

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