Provider Demographics
NPI:1316907272
Name:LYNCH, CHRISTOPHER THOMAS (OTR)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:LYNCH
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:TRUSSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35173-0175
Mailing Address - Country:US
Mailing Address - Phone:205-661-0810
Mailing Address - Fax:205-661-9841
Practice Address - Street 1:4901 DEERFOOT PKWY
Practice Address - Street 2:
Practice Address - City:TRUSSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35173-2697
Practice Address - Country:US
Practice Address - Phone:205-661-0810
Practice Address - Fax:205-661-9841
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0393225XE1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0510-01819OtherBLUE CROSS BLUE SHIELD
AL0510-01820OtherBLUE CROSS BLUE SHEILD