Provider Demographics
NPI:1598705352
Name:CULLITY, LYNN P (OTR)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:P
Last Name:CULLITY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 OLD COUNTY RD
Mailing Address - Street 2:PO BOX 219
Mailing Address - City:EAST SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02537-1431
Mailing Address - Country:US
Mailing Address - Phone:508-888-7629
Mailing Address - Fax:
Practice Address - Street 1:48 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:EAST SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02537-1431
Practice Address - Country:US
Practice Address - Phone:508-888-7629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1773225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist