Provider Demographics
NPI:1841459146
Name:VEALE, LYNN (OT)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:VEALE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-0028
Mailing Address - Country:US
Mailing Address - Phone:254-770-2410
Mailing Address - Fax:254-770-2424
Practice Address - Street 1:618 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76501-3249
Practice Address - Country:US
Practice Address - Phone:254-770-2410
Practice Address - Fax:254-770-2424
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104853225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist