Provider Demographics
NPI:1245214105
Name:FINNEY, LYNNE HESTER (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:HESTER
Last Name:FINNEY
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:#100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:866-681-0736
Mailing Address - Fax:
Practice Address - Street 1:470 PLUMAS BLVD
Practice Address - Street 2:#201
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5077
Practice Address - Country:US
Practice Address - Phone:530-749-3463
Practice Address - Fax:530-749-3553
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT641225X00000X
CAOT 641225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ17864ZMedicare ID - Type Unspecified