Provider Demographics
NPI:1760761803
Name:MCCANN, LYN NORRIS (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LYN
Middle Name:NORRIS
Last Name:MCCANN
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 1:58 WOODSIDE MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-1234
Mailing Address - Country:US
Mailing Address - Phone:207-686-3010
Mailing Address - Fax:
Practice Address - Street 1:74 STATE RD
Practice Address - Street 2:PEPPERELL GREEN OFFICE SUITE 103
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1564
Practice Address - Country:US
Practice Address - Phone:207-439-9045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0669225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist