Provider Demographics
NPI:1700937091
Name:OBORN, LYNN FINLINSON (PT)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:FINLINSON
Last Name:OBORN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 HIGHRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-3113
Mailing Address - Country:US
Mailing Address - Phone:334-288-8671
Mailing Address - Fax:
Practice Address - Street 1:102 CONECUH AVE W
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:AL
Practice Address - Zip Code:36089-1303
Practice Address - Country:US
Practice Address - Phone:334-738-1484
Practice Address - Fax:334-738-1496
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH1721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist