Provider Demographics
NPI:1891939245
Name:DEBOYES, LYNN KIRSTEN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:KIRSTEN
Last Name:DEBOYES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15 JOHN DIETSCH BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02763-1025
Mailing Address - Country:US
Mailing Address - Phone:508-695-4500
Mailing Address - Fax:508-695-0300
Practice Address - Street 1:15 JOHN DIETSCH BLVD
Practice Address - Street 2:
Practice Address - City:NORTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02763
Practice Address - Country:US
Practice Address - Phone:508-695-4500
Practice Address - Fax:508-695-0300
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant