Provider Demographics
NPI:1568419752
Name:BEMIS, LYNN MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:MARIE
Last Name:BEMIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SW GRANADA LN
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32024-3307
Mailing Address - Country:US
Mailing Address - Phone:386-961-8209
Mailing Address - Fax:
Practice Address - Street 1:204 SW GRANADA LN
Practice Address - Street 2:204 SW GRANADA LANE
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32024-3307
Practice Address - Country:US
Practice Address - Phone:386-961-8209
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist